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Tammy L Dirksen
Prosthetic/Orthotic Supplier in Fresno, California
NPI 1558559484

Tammy L Dirksen is a Prosthetic/Orthotic Supplier based in Fresno, CA. Tammy L Dirksen practices in Fresno, CA. The NPI Number for Tammy L Dirksen is 1558559484 and holds a License No. (California).

The current practice location address for Tammy L Dirksen is 2039 N Fine Ave, Fresno, CA and can be reached out via phone at 559-251-5557 and via fax at 559-251-5559. You can also correspond with Tammy L Dirksen through the mailing address at 2039 N FINE AVE, FRESNO, CA - 93727-1512 (mailing address contact number: 559-251-5557).

Location: 2039 N Fine Ave, Fresno, CA, 93727-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558559484
Provider Name
Tammy L Dirksen
Credential
Provider Entity Type
Organization
Address
2039 N Fine Ave, Fresno, CA, 93727-1512
Phone Number
559-251-5557
Fax Number
559-251-5559
Provider Enumeration Date
10/04/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000650 05 CA
institution
Provider Business Practice Location Address Details
Address
2039 N Fine Ave
City
Fresno
State
California
Zip
93727-1512
Phone Number
559-251-5557
Fax Number
559-251-5559
person
Provider Business Mailing Address Details
Address
2039 N Fine Ave
City
Fresno
State
California
Zip
93727-1512
Phone Number
559-251-5557
Fax Number
559-251-5559
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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