location
search-icon
person
Gene Casamera Reavis III, CO
Prosthetic/Orthotic Supplier in Phila, Pennsylvania
NPI 1659150696

Gene Casamera Reavis III is a Prosthetic/Orthotic Supplier based in Philadelphia, PA. Gene Casamera Reavis III practices in Phila, PA and has the professional credentials of CO. The NPI Number for Gene Casamera Reavis III is 1659150696 and holds a License No. CO264177 (Pennsylvania).

The current practice location address for Gene Casamera Reavis III is 901 S 55Th St Unit A2, Phila, PA and can be reached out via phone at 215-474-4767.

Location: 901 S 55Th St Unit A2, Phila, PA, 19143-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659150696
Provider Name
Gene Casamera Reavis III
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
901 S 55Th St Unit A2, Phila, PA, 19143-4005
Phone Number
215-474-4767
Fax Number
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 S 55Th St Unit A2
City
Phila
State
Pennsylvania
Zip
19143-4005
Phone Number
215-474-4767
Fax Number
person
Provider Business Mailing Address Details
Address
901 S 55Th St Unit A2
City
Phila
State
Pennsylvania
Zip
19143-4005
Phone Number
215-474-4767
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CO264177 (Pennsylvania)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.