person
Drew Hittenberger, CP,BOCO
Prosthetic/Orthotic Supplier in Petaluma, California
NPI 1952467557

Drew Hittenberger is a Prosthetic/Orthotic Supplier based in Petaluma, CA. Drew Hittenberger practices in Petaluma, CA and has the professional credentials of CP,BOCO. The NPI Number for Drew Hittenberger is 1952467557 and holds a License No. (California).

The current practice location address for Drew Hittenberger is 181 Lynch Creek Way Ste 101, Petaluma, CA and can be reached out via phone at 707-765-1122 and via fax at 707-765-4571.

Location: 181 Lynch Creek Way Ste 101, Petaluma, CA, 94954-2380
person
Provider Profile Details
NPI Number
1952467557
Provider Name
Drew Hittenberger
Credential
CP,BOCO
Provider Entity Type
Individual
Gender
Male
Address
181 Lynch Creek Way Ste 101, Petaluma, CA, 94954-2380
Phone Number
707-765-1122
Fax Number
707-765-4571
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000120 05 CA
institution
Provider Business Practice Location Address Details
Address
181 Lynch Creek Way Ste 101
City
State
Zip
94954-2380
Phone Number
707-765-1122
Fax Number
707-765-4571
person
Provider Business Mailing Address Details
Address
181 Lynch Creek Way Ste 101
City
State
Zip
94954-2380
Phone Number
707-765-1122
Fax Number
707-765-4571
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
CP 1093 (Delaware)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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