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Sierra Orthopedic Laboratory, Inc.
Prosthetic/Orthotic Supplier in Santa Rosa, California
NPI 1659366003

Sierra Orthopedic Laboratory, Inc. is a Prosthetic/Orthotic Supplier based in Santa Rosa, CA. Sierra Orthopedic Laboratory, Inc. practices in Santa Rosa, CA. The NPI Number for Sierra Orthopedic Laboratory, Inc. is 1659366003 and holds a License No. (California).

The current practice location address for Sierra Orthopedic Laboratory, Inc. is 4847 Old Redwood Hwy, Santa Rosa, CA and can be reached out via phone at 707-528-9808 and via fax at 707-528-9818.

Location: 4847 Old Redwood Hwy, Santa Rosa, CA, 95403-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659366003
Provider Name
Sierra Orthopedic Laboratory, Inc.
Credential
Provider Entity Type
Organization
Address
4847 Old Redwood Hwy, Santa Rosa, CA, 95403-1415
Phone Number
707-528-9808
Fax Number
707-528-9818
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GFC000230 05 CA
CMS162587 05 CA
institution
Provider Business Practice Location Address Details
Address
4847 Old Redwood Hwy
City
Santa Rosa
State
California
Zip
95403-1415
Phone Number
707-528-9808
Fax Number
707-528-9818
person
Provider Business Mailing Address Details
Address
4847 Old Redwood Hwy
City
Santa Rosa
State
California
Zip
95403-1415
Phone Number
707-528-9808
Fax Number
707-528-9818
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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