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Mark Fordham, CP
Prosthetist in Henderson, North Carolina
NPI 1992902266

Mark Fordham is a Prosthetist based in Henderson, NC. Mark Fordham practices in Henderson, NC and has the professional credentials of CP. The NPI Number for Mark Fordham is 1992902266 and holds a License No. (North Carolina).

The current practice location address for Mark Fordham is 451 Ruin Creek Rd, Henderson, NC and can be reached out via phone at 252-436-2611.

Location: 451 Ruin Creek Rd, Henderson, NC, 27536-2878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992902266
Provider Name
Mark Fordham
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
451 Ruin Creek Rd, Henderson, NC, 27536-2878
Phone Number
252-436-2611
Fax Number
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7795152 05 NC
institution
Provider Business Practice Location Address Details
Address
451 Ruin Creek Rd
City
Henderson
State
North Carolina
Zip
27536-2878
Phone Number
252-436-2611
Fax Number
person
Provider Business Mailing Address Details
Address
451 Ruin Creek Rd
City
Henderson
State
North Carolina
Zip
27536-2878
Phone Number
252-436-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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