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Randy Ray Stevens
Prosthetic/Orthotic Supplier in Harrisburg, Pennsylvania
NPI 1487675203

Randy Ray Stevens is a Prosthetic/Orthotic Supplier based in Harrisburg, PA. Randy Ray Stevens practices in Harrisburg, PA. The NPI Number for Randy Ray Stevens is 1487675203 and holds a License No. (Pennsylvania).

The current practice location address for Randy Ray Stevens is 845 Sir Thomas Ct Ste D, Harrisburg, PA and can be reached out via phone at 717-561-1453.

Location: 845 Sir Thomas Ct Ste D, Harrisburg, PA, 17109-4840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487675203
Provider Name
Randy Ray Stevens
Credential
Provider Entity Type
Organization
Address
845 Sir Thomas Ct Ste D, Harrisburg, PA, 17109-4840
Phone Number
717-561-1453
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0007524777 01 PA AETNA
419111 01 PA HEALTHASSURANCE
20050085 01 PA AMERIHEALTH
1814385 01 PA BCBS OF PA
institution
Provider Business Practice Location Address Details
Address
845 Sir Thomas Ct Ste D
City
Harrisburg
State
Pennsylvania
Zip
17109-4840
Phone Number
717-561-1453
Fax Number
person
Provider Business Mailing Address Details
Address
845 Sir Thomas Ct Ste D
City
Harrisburg
State
Pennsylvania
Zip
17109-4840
Phone Number
717-561-1453
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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