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Clover Marjorie Colonel, RN
Prosthetic/Orthotic Supplier in Burlington, North Carolina
NPI 1831346964

Clover Marjorie Colonel is a Prosthetic/Orthotic Supplier based in Burlington, NC. Clover Marjorie Colonel practices in Burlington, NC and has the professional credentials of RN. The NPI Number for Clover Marjorie Colonel is 1831346964 and holds a License No. (North Carolina).

The current practice location address for Clover Marjorie Colonel is 1040 S Church St, Burlington, NC and can be reached out via phone at 336-222-8052 and via fax at 336-222-8091.

Location: 1040 S Church St, Burlington, NC, 27215-5046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831346964
Provider Name
Clover Marjorie Colonel
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1040 S Church St, Burlington, NC, 27215-5046
Phone Number
336-222-8052
Fax Number
336-222-8091
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7795167 05 NC
institution
Provider Business Practice Location Address Details
Address
1040 S Church St
City
Burlington
State
North Carolina
Zip
27215-5046
Phone Number
336-222-8052
Fax Number
336-222-8091
person
Provider Business Mailing Address Details
Address
1040 S Church St
City
Burlington
State
North Carolina
Zip
27215-5046
Phone Number
336-222-8052
Fax Number
336-222-8091
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
(North Carolina)
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 2
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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