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Monica Evette Dickenson
Prosthetic/Orthotic Supplier in Stafford, Virginia
NPI 1689212078

Monica Evette Dickenson is a Prosthetic/Orthotic Supplier based in Stafford, VA. Monica Evette Dickenson practices in Stafford, VA. The NPI Number for Monica Evette Dickenson is 1689212078 and holds a License No. (Virginia).

The current practice location address for Monica Evette Dickenson is 2773 Jefferson Davis Hwy Ste 119, Stafford, VA and can be reached out via phone at 703-672-0680.

Location: 2773 Jefferson Davis Hwy Ste 119, Stafford, VA, 22554-6208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689212078
Provider Name
Monica Evette Dickenson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2773 Jefferson Davis Hwy Ste 119, Stafford, VA, 22554-6208
Phone Number
703-672-0680
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2773 Jefferson Davis Hwy Ste 119
City
Stafford
State
Virginia
Zip
22554-8324
Phone Number
703-672-0680
Fax Number
person
Provider Business Mailing Address Details
Address
2773 Jefferson Davis Hwy Ste 119
City
Stafford
State
Virginia
Zip
22554-8324
Phone Number
703-672-0680
Fax Number
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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