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Specialized Orthopaedic Services,inc.
Prosthetic/Orthotic Supplier in Vienna, Virginia
NPI 1962413765

Specialized Orthopaedic Services,inc. is a Prosthetic/Orthotic Supplier based in Vienna, VA. Specialized Orthopaedic Services,inc. practices in Vienna, VA. The NPI Number for Specialized Orthopaedic Services,inc. is 1962413765 and holds a License No. 1114 (Virginia).

The current practice location address for Specialized Orthopaedic Services,inc. is 307 Maple Ave West, Vienna, VA and can be reached out via phone at 703-281-1200 and via fax at 703-281-1201.

Location: 307 Maple Ave West, Vienna, VA, 22180-4307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962413765
Provider Name
Specialized Orthopaedic Services,inc.
Credential
Provider Entity Type
Organization
Address
307 Maple Ave West, Vienna, VA, 22180-4307
Phone Number
703-281-1200
Fax Number
703-281-1201
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
272601 01 ANTHEM BCBS
G562 01 CAREFIRST
010061300 05 VA
036316600 01 DC MEDICAID
150078000 01 DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
307 Maple Ave West
City
Vienna
State
Virginia
Zip
22180-4307
Phone Number
703-281-1200
Fax Number
703-281-1201
person
Provider Business Mailing Address Details
Address
307 Maple Ave West
City
Vienna
State
Virginia
Zip
22180-4307
Phone Number
703-281-1200
Fax Number
703-281-1201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1114 (Virginia)
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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