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Alloplastic Reconstruction
Prosthetic/Orthotic Supplier in Memphis, Tennessee
NPI 1962805812

Alloplastic Reconstruction is a Prosthetic/Orthotic Supplier based in Little Rock, TN. Alloplastic Reconstruction practices in Memphis, TN. The NPI Number for Alloplastic Reconstruction is 1962805812 and holds a License No. (Tennessee).

The current practice location address for Alloplastic Reconstruction is 6 W Ge Patterson Ave, Memphis, TN and can be reached out via phone at 901-410-5375 and via fax at 800-977-4149. You can also correspond with Alloplastic Reconstruction through the mailing address at 220 N. VAN BUREN, LITTLE ROCK, AR - 72205 (mailing address contact number: 501-265-0100).

Location: 6 W Ge Patterson Ave, Memphis, TN, 72205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962805812
Provider Name
Alloplastic Reconstruction
Credential
Provider Entity Type
Organization
Address
6 W Ge Patterson Ave, Memphis, TN, 72205
Phone Number
901-410-5375
Fax Number
800-977-4149
Provider Enumeration Date
10/07/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6 W Ge Patterson Ave
City
Memphis
State
Tennessee
Zip
38103-6413
Phone Number
901-410-5375
Fax Number
800-977-4149
person
Provider Business Mailing Address Details
Address
220 N. Van Buren
City
Little Rock
State
Arkansas
Zip
72205
Phone Number
501-265-0100
Fax Number
800-977-4149
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
OPP00038 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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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