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Mr. Benjamin Dale Fortson, MPO,CPO
Prosthetist in Rockville, Maryland
NPI 1497296537

Benjamin Dale Fortson is a Prosthetist based in Rockville, MD. Benjamin Dale Fortson practices in Rockville, MD and has the professional credentials of MPO,CPO. The NPI Number for Benjamin Dale Fortson is 1497296537 and holds a License No. CO005694 (Maryland).

The current practice location address for Benjamin Dale Fortson is 15200 Shady Grove Rd Ste 102, Rockville, MD and can be reached out via phone at 240-261-4229 and via fax at 240-261-4489. You can also correspond with Benjamin Dale Fortson through the mailing address at 15200 SHADY GROVE RD STE 102, ROCKVILLE, MD - 20850-3218 (mailing address contact number: 240-261-4229).

Location: 15200 Shady Grove Rd Ste 102, Rockville, MD, 20850-3218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497296537
Provider Name
Benjamin Dale Fortson
Credential
MPO,CPO
Provider Entity Type
Individual
Gender
Male
Address
15200 Shady Grove Rd Ste 102, Rockville, MD, 20850-3218
Phone Number
240-261-4229
Fax Number
240-261-4489
Provider Enumeration Date
03/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15200 Shady Grove Rd Ste 102
City
Rockville
State
Maryland
Zip
20850-3218
Phone Number
240-261-4229
Fax Number
240-261-4489
person
Provider Business Mailing Address Details
Address
15200 Shady Grove Rd Ste 102
City
Rockville
State
Maryland
Zip
20850-3218
Phone Number
240-261-4229
Fax Number
240-261-4489
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO04027 (Delaware)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CO005694 (Delaware)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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