Tanisha Godbolt - Charlotte, NC

Tanisha Godbolt

Prosthetic/Orthotic Supplier in Charlotte, North Carolina

NPI 1740871755

Tanisha Godbolt is a Prosthetic/Orthotic Supplier based in Charlotte, NC. Tanisha Godbolt practices in Charlotte, NC. The NPI Number for Tanisha Godbolt is 1740871755 and holds a License No. 054857 (North Carolina).

The current practice location address for Tanisha Godbolt is 9147 Moss Cove Ct, Charlotte, NC and can be reached out via phone at 832-794-7264.

Location: 9147 Moss Cove Ct, Charlotte, NC, 28227-8703

NPI Number

1740871755

Provider Name

Tanisha Godbolt

Credential

Provider Entity Type

Individual

Gender

Female

Address

9147 Moss Cove Ct, Charlotte, NC, 28227-8703

Phone Number

832-794-7264

Fax Number

Provider Enumeration Date

02/02/2021

Last Update Date

03/10/2024

Address

9147 Moss Cove Ct

City

Charlotte

State

North Carolina

Zip

28227-8703

Phone Number

832-794-7264

Fax Number

Address

9147 Moss Cove Ct

City

Charlotte

State

North Carolina

Zip

28227-8703

Phone Number

832-794-7264

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

054857 (Connecticut)

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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