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Custom Prosthetic & Orthotic
Prosthetic/Orthotic Supplier in Clinton, Mississippi
NPI 1710147301

Custom Prosthetic & Orthotic is a Prosthetic/Orthotic Supplier based in Clinton, MS. Custom Prosthetic & Orthotic practices in Clinton, MS. The NPI Number for Custom Prosthetic & Orthotic is 1710147301 and holds a License No. (Mississippi).

The current practice location address for Custom Prosthetic & Orthotic is 801 E Northside Dr, Clinton, MS and can be reached out via phone at 601-906-1024. You can also correspond with Custom Prosthetic & Orthotic through the mailing address at 801 E NORTHSIDE DR, CLINTON, MS - 39056-3663 (mailing address contact number: 601-906-1024).

Location: 801 E Northside Dr, Clinton, MS, 39056-3663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710147301
Provider Name
Custom Prosthetic & Orthotic
Credential
Provider Entity Type
Organization
Address
801 E Northside Dr, Clinton, MS, 39056-3663
Phone Number
601-906-1024
Fax Number
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 E Northside Dr
City
Clinton
State
Mississippi
Zip
39056-3663
Phone Number
601-906-1024
Fax Number
person
Provider Business Mailing Address Details
Address
801 E Northside Dr
City
Clinton
State
Mississippi
Zip
39056-3663
Phone Number
601-906-1024
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Mississippi)
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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