Michael H Theodoulou - Washington, DC

Michael H Theodoulou

Prosthetic/Orthotic Supplier in Washington, District of Columbia

NPI 1780859892

Michael H Theodoulou is a Prosthetic/Orthotic Supplier based in Washington, DC. Michael H Theodoulou practices in Washington, DC. The NPI Number for Michael H Theodoulou is 1780859892 and holds a License No. P0558 (District of Columbia).

The current practice location address for Michael H Theodoulou is 3301 New Mexico Ave Nw, Washington, DC and can be reached out via phone at 202-237-0038 and via fax at 202-237-2551.

Location: 3301 New Mexico Ave Nw, Washington, DC, 20016-3622

NPI Number

1780859892

Provider Name

Michael H Theodoulou

Credential

Provider Entity Type

Organization

Address

3301 New Mexico Ave Nw, Washington, DC, 20016-3622

Phone Number

202-237-0038

Fax Number

202-237-2551

Provider Enumeration Date

04/29/2008

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
020331900	05	MD

Address

3301 New Mexico Ave Nw

City

Washington

State

District of Columbia

Zip

20016-3622

Phone Number

202-237-0038

Fax Number

202-237-2551

Address

3301 New Mexico Ave Nw

City

Washington

State

District of Columbia

Zip

20016-3622

Phone Number

202-237-0038

Fax Number

202-237-2551

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

P0558 (District of Columbia)

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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