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Ondrey Tobias Isaac
Prosthetic/Orthotic Supplier in Stone Mountain, Georgia
NPI 1982102877

Ondrey Tobias Isaac is a Prosthetic/Orthotic Supplier based in Fort Pierce, GA. Ondrey Tobias Isaac practices in Stone Mountain, GA. The NPI Number for Ondrey Tobias Isaac is 1982102877 and holds a License No. CL1259854 (Georgia).

The current practice location address for Ondrey Tobias Isaac is 971 N Hairston Rd, Stone Mountain, GA and can be reached out via phone at 772-828-6370. You can also correspond with Ondrey Tobias Isaac through the mailing address at 1908 AVENUE N, FORT PIERCE, FL - 34950-2055 (mailing address contact number: 772-828-6370).

Location: 971 N Hairston Rd, Stone Mountain, GA, 34950-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982102877
Provider Name
Ondrey Tobias Isaac
Credential
Provider Entity Type
Individual
Gender
Male
Address
971 N Hairston Rd, Stone Mountain, GA, 34950-2055
Phone Number
772-828-6370
Fax Number
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
971 N Hairston Rd
City
Stone Mountain
State
Georgia
Zip
30083-2871
Phone Number
772-828-6370
Fax Number
person
Provider Business Mailing Address Details
Address
971 N Hairston Rd
City
Stone Mountain
State
Georgia
Zip
30083-2871
Phone Number
772-828-6370
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CL1259854 (Florida)
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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