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Rodney D. Henson
Prosthetic/Orthotic Supplier in Stockton, California
NPI 1932195195

Rodney D. Henson is a Prosthetic/Orthotic Supplier based in Stockton, CA. Rodney D. Henson practices in Stockton, CA. The NPI Number for Rodney D. Henson is 1932195195 and holds a License No. (California).

The current practice location address for Rodney D. Henson is 2540 Pacific Ave, Stockton, CA and can be reached out via phone at 209-944-9990 and via fax at 209-944-9992.

Location: 2540 Pacific Ave, Stockton, CA, 95204-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932195195
Provider Name
Rodney D. Henson
Credential
Provider Entity Type
Organization
Address
2540 Pacific Ave, Stockton, CA, 95204-4400
Phone Number
209-944-9990
Fax Number
209-944-9992
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0023130 05 CA
institution
Provider Business Practice Location Address Details
Address
2540 Pacific Ave
City
Stockton
State
California
Zip
95204-4400
Phone Number
209-944-9990
Fax Number
209-944-9992
person
Provider Business Mailing Address Details
Address
2540 Pacific Ave
City
Stockton
State
California
Zip
95204-4400
Phone Number
209-944-9990
Fax Number
209-944-9992
person
Provider's Taxonomy Details 1
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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