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Mrs. Gladys Rea Smith, CERTIFIEDMASTECTOMY
Prosthetic/Orthotic Supplier in Alexandria, Virginia
NPI 1770639767

Gladys Rea Smith is a Prosthetic/Orthotic Supplier based in Alexandria, VA. Gladys Rea Smith practices in Alexandria, VA and has the professional credentials of CERTIFIEDMASTECTOMY. The NPI Number for Gladys Rea Smith is 1770639767 and holds a License No. C18127 (Virginia).

The current practice location address for Gladys Rea Smith is 50 S Pickett St, Alexandria, VA and can be reached out via phone at 703-461-7534 and via fax at 703-461-7534.

Location: 50 S Pickett St, Alexandria, VA, 22304-7206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770639767
Provider Name
Gladys Rea Smith
Credential
CERTIFIEDMASTECTOMY
Provider Entity Type
Individual
Gender
Female
Address
50 S Pickett St, Alexandria, VA, 22304-7206
Phone Number
703-461-7534
Fax Number
703-461-7534
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
50 S Pickett St
City
Alexandria
State
Virginia
Zip
22304-7206
Phone Number
703-461-7534
Fax Number
703-461-7534
person
Provider Business Mailing Address Details
Address
50 S Pickett St
City
Alexandria
State
Virginia
Zip
22304-7206
Phone Number
703-461-7534
Fax Number
703-461-7534
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
C18127 (Maryland)
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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