institution
Phyllis Davis Cosmetologist
Prosthetic/Orthotic Supplier in Indianapolis, Indiana
NPI 1568871200

Phyllis Davis Cosmetologist is a Prosthetic/Orthotic Supplier based in Indianapolis, IN. Phyllis Davis Cosmetologist practices in Indianapolis, IN. The NPI Number for Phyllis Davis Cosmetologist is 1568871200 and holds a License No. BC107209275 (Indiana).

The current practice location address for Phyllis Davis Cosmetologist is 2336 E 53Rd St, Indianapolis, IN and can be reached out via phone at 317-259-2957.

Location: 2336 E 53Rd St, Indianapolis, IN, 46236-7372
institution
Provider Profile Details
NPI Number
1568871200
Provider Name
Phyllis Davis Cosmetologist
Credential
Provider Entity Type
Organization
Address
2336 E 53Rd St, Indianapolis, IN, 46236-7372
Phone Number
317-259-2957
Fax Number
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2336 E 53Rd St
City
State
Zip
46220-3430
Phone Number
317-259-2957
Fax Number
person
Provider Business Mailing Address Details
Address
2336 E 53Rd St
City
State
Zip
46220-3430
Phone Number
317-259-2957
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
BC107209275 (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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