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Lisa E Rostvold
Prosthetic/Orthotic Supplier in Warsaw, Indiana
NPI 1558539338

Lisa E Rostvold is a Prosthetic/Orthotic Supplier based in Warsaw, IN. Lisa E Rostvold practices in Warsaw, IN. The NPI Number for Lisa E Rostvold is 1558539338 and holds a License No. CPED2624 (Indiana).

The current practice location address for Lisa E Rostvold is 110 N Buffalo St, Warsaw, IN and can be reached out via phone at 574-267-5537 and via fax at 574-267-6165.

Location: 110 N Buffalo St, Warsaw, IN, 46580-2754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558539338
Provider Name
Lisa E Rostvold
Credential
Provider Entity Type
Organization
Address
110 N Buffalo St, Warsaw, IN, 46580-2754
Phone Number
574-267-5537
Fax Number
574-267-6165
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 N Buffalo St
City
Warsaw
State
Indiana
Zip
46580-2754
Phone Number
574-267-5537
Fax Number
574-267-6165
person
Provider Business Mailing Address Details
Address
110 N Buffalo St
City
Warsaw
State
Indiana
Zip
46580-2754
Phone Number
574-267-5537
Fax Number
574-267-6165
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPED2624 (Indiana)
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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