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James A Lathrop, C-PED
Prosthetic/Orthotic Supplier in Mattoon, Illinois
NPI 1790983856

James A Lathrop is a Prosthetic/Orthotic Supplier based in Mattoon, IL. James A Lathrop practices in Mattoon, IL and has the professional credentials of C-PED. The NPI Number for James A Lathrop is 1790983856 and holds a License No. (Illinois).

The current practice location address for James A Lathrop is 821 Charleston Ave, Mattoon, IL and can be reached out via phone at 217-234-3811. You can also correspond with James A Lathrop through the mailing address at 821 CHARLESTON AVE, MATTOON, IL - 61938-4202 (mailing address contact number: 217-234-3811).

Location: 821 Charleston Ave, Mattoon, IL, 61938-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790983856
Provider Name
James A Lathrop
Credential
C-PED
Provider Entity Type
Individual
Gender
Male
Address
821 Charleston Ave, Mattoon, IL, 61938-4202
Phone Number
217-234-3811
Fax Number
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
821 Charleston Ave
City
Mattoon
State
Illinois
Zip
61938-4202
Phone Number
217-234-3811
Fax Number
person
Provider Business Mailing Address Details
Address
821 Charleston Ave
City
Mattoon
State
Illinois
Zip
61938-4202
Phone Number
217-234-3811
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Illinois)
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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