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Kathleen Elizabeth Brockway
Prosthetic/Orthotic Supplier in Jacksonville, Florida
NPI 1720227465

Kathleen Elizabeth Brockway is a Prosthetic/Orthotic Supplier based in Jacksonville, FL. Kathleen Elizabeth Brockway practices in Jacksonville, FL. The NPI Number for Kathleen Elizabeth Brockway is 1720227465 and holds a License No. (Florida).

The current practice location address for Kathleen Elizabeth Brockway is 13740 Beach Blvd Ste 404, Jacksonville, FL and can be reached out via phone at 904-223-5595 and via fax at 904-223-5594.

Location: 13740 Beach Blvd Ste 404, Jacksonville, FL, 32224-6036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720227465
Provider Name
Kathleen Elizabeth Brockway
Credential
Provider Entity Type
Individual
Gender
Female
Address
13740 Beach Blvd Ste 404, Jacksonville, FL, 32224-6036
Phone Number
904-223-5595
Fax Number
904-223-5594
Provider Enumeration Date
02/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13740 Beach Blvd Ste 404
City
Jacksonville
State
Florida
Zip
32224-6036
Phone Number
904-223-5595
Fax Number
904-223-5594
person
Provider Business Mailing Address Details
Address
13740 Beach Blvd Ste 404
City
Jacksonville
State
Florida
Zip
32224-6036
Phone Number
904-223-5595
Fax Number
904-223-5594
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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