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Dynamic Disruption Llc
Prosthetic/Orthotic Supplier in Altoona, Florida
NPI 1619477130

Dynamic Disruption Llc is a Prosthetic/Orthotic Supplier based in Altoona, FL. Dynamic Disruption Llc practices in Altoona, FL. The NPI Number for Dynamic Disruption Llc is 1619477130 and holds a License No. (Florida).

The current practice location address for Dynamic Disruption Llc is 18200 Ravenswood Rd, Altoona, FL and can be reached out via phone at 302-364-5459. You can also correspond with Dynamic Disruption Llc through the mailing address at 18200 RAVENSWOOD RD, ALTOONA, FL - 32702-9724 (mailing address contact number: 407-446-9911).

Location: 18200 Ravenswood Rd, Altoona, FL, 32702-9724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619477130
Provider Name
Dynamic Disruption Llc
Credential
Provider Entity Type
Organization
Address
18200 Ravenswood Rd, Altoona, FL, 32702-9724
Phone Number
302-364-5459
Fax Number
Provider Enumeration Date
02/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18200 Ravenswood Rd
City
Altoona
State
Florida
Zip
32702-9724
Phone Number
302-364-5459
Fax Number
person
Provider Business Mailing Address Details
Address
18200 Ravenswood Rd
City
Altoona
State
Florida
Zip
32702-9724
Phone Number
302-364-5459
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Florida)
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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