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Mountain State Prosthetics, Llc
Prosthetic/Orthotic Supplier in Charleston, West Virginia
NPI 1639124423

Mountain State Prosthetics, Llc is a Prosthetic/Orthotic Supplier based in Charleston, WV. Mountain State Prosthetics, Llc practices in Charleston, WV. The NPI Number for Mountain State Prosthetics, Llc is 1639124423 and holds a License No. (West Virginia).

The current practice location address for Mountain State Prosthetics, Llc is 216 Brooks St, Charleston, WV and can be reached out via phone at 304-344-5593 and via fax at 304-344-5595.

Location: 216 Brooks St, Charleston, WV, 25301-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639124423
Provider Name
Mountain State Prosthetics, Llc
Credential
Provider Entity Type
Organization
Address
216 Brooks St, Charleston, WV, 25301-1828
Phone Number
304-344-5593
Fax Number
304-344-5595
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0147696000 05 WV
institution
Provider Business Practice Location Address Details
Address
216 Brooks St
City
Charleston
State
West Virginia
Zip
25301-1828
Phone Number
304-344-5593
Fax Number
304-344-5595
person
Provider Business Mailing Address Details
Address
216 Brooks St
City
Charleston
State
West Virginia
Zip
25301-1828
Phone Number
304-344-5593
Fax Number
304-344-5595
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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