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Evergreen Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Meridian, Idaho
NPI 1619508702

Evergreen Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Oregon City, ID. Evergreen Prosthetics And Orthotics, Llc practices in Meridian, ID. The NPI Number for Evergreen Prosthetics And Orthotics, Llc is 1619508702 and holds a License No. (Idaho).

The current practice location address for Evergreen Prosthetics And Orthotics, Llc is 1500 E Heritage Park St Ste 100, Meridian, ID and can be reached out via phone at 208-884-1294 and via fax at 208-884-1293.

Location: 1500 E Heritage Park St Ste 100, Meridian, ID, 97045-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619508702
Provider Name
Evergreen Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
1500 E Heritage Park St Ste 100, Meridian, ID, 97045-1853
Phone Number
208-884-1294
Fax Number
208-884-1293
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Heritage Park St Ste 100
City
Meridian
State
Idaho
Zip
83646-5884
Phone Number
208-884-1294
Fax Number
208-884-1293
person
Provider Business Mailing Address Details
Address
1500 E Heritage Park St Ste 100
City
Meridian
State
Idaho
Zip
83646-5884
Phone Number
208-884-1294
Fax Number
208-884-1293
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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