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Mrs. Wanda Bates Champion, CFTS,CFM
Mastectomy Fitter in Forest City, North Carolina
NPI 1548591324

Wanda Bates Champion is a Mastectomy Fitter based in Forest City, NC. Wanda Bates Champion practices in Forest City, NC and has the professional credentials of CFTS,CFM. The NPI Number for Wanda Bates Champion is 1548591324 and holds a License No. CFTS0820 (North Carolina).

The current practice location address for Wanda Bates Champion is 139 E Main St, Forest City, NC and can be reached out via phone at 828-245-4591 and via fax at 828-245-1793.

Location: 139 E Main St, Forest City, NC, 28043-3125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548591324
Provider Name
Wanda Bates Champion
Credential
CFTS,CFM
Provider Entity Type
Individual
Gender
Female
Address
139 E Main St, Forest City, NC, 28043-3125
Phone Number
828-245-4591
Fax Number
828-245-1793
Provider Enumeration Date
01/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
139 E Main St
City
Forest City
State
North Carolina
Zip
28043-3125
Phone Number
828-245-4591
Fax Number
828-245-1793
person
Provider Business Mailing Address Details
Address
139 E Main St
City
Forest City
State
North Carolina
Zip
28043-3125
Phone Number
828-245-4591
Fax Number
828-245-1793
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
CFM02654 (North Carolina)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CFTS0820 (North Carolina)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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