Miss Tyneice Stupart - Kettering, MD

Miss Tyneice Stupart

Prosthetic/Orthotic Supplier in Kettering, Maryland

NPI 1528710159

Tyneice Stupart is a Prosthetic/Orthotic Supplier based in Alexandria, MD. Tyneice Stupart practices in Kettering, MD. The NPI Number for Tyneice Stupart is 1528710159 and holds a License No. (Maryland).

The current practice location address for Tyneice Stupart is 10478 Campus Way S Ste 179, Kettering, MD and can be reached out via phone at 240-484-9262.

Location: 10478 Campus Way S Ste 179, Kettering, MD, 22302-8813

NPI Number

1528710159

Provider Name

Tyneice Stupart

Credential

Provider Entity Type

Individual

Gender

Female

Address

10478 Campus Way S Ste 179, Kettering, MD, 22302-8813

Phone Number

240-484-9262

Fax Number

Provider Enumeration Date

01/25/2022

Last Update Date

03/10/2024

Address

10478 Campus Way S Ste 179

City

Kettering

State

Maryland

Zip

20774-1304

Phone Number

240-484-9262

Fax Number

Address

10478 Campus Way S Ste 179

City

Kettering

State

Maryland

Zip

20774-1304

Phone Number

240-484-9262

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

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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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