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Frederick Customeyez Prosthetics Llc
Prosthetic/Orthotic Supplier in Saint Louis, Missouri
NPI 1841926599

Frederick Customeyez Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Weldon Spring, MO. Frederick Customeyez Prosthetics Llc practices in Saint Louis, MO. The NPI Number for Frederick Customeyez Prosthetics Llc is 1841926599 and holds a License No. (Missouri).

The current practice location address for Frederick Customeyez Prosthetics Llc is 1834 Craig Rd, Saint Louis, MO and can be reached out via phone at 401-584-3939 and via fax at 216-678-9186.

Location: 1834 Craig Rd, Saint Louis, MO, 63304-7890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841926599
Provider Name
Frederick Customeyez Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
1834 Craig Rd, Saint Louis, MO, 63304-7890
Phone Number
401-584-3939
Fax Number
216-678-9186
Provider Enumeration Date
07/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1834 Craig Rd
City
Saint Louis
State
Missouri
Zip
63146-4712
Phone Number
401-584-3939
Fax Number
216-678-9186
person
Provider Business Mailing Address Details
Address
1834 Craig Rd
City
Saint Louis
State
Missouri
Zip
63146-4712
Phone Number
401-584-3939
Fax Number
216-678-9186
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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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