person
Mrs. Tracy Lynn Johnson, CFTS
Prosthetic/Orthotic Supplier in Wilmington, North Carolina
NPI 1992938757

Tracy Lynn Johnson is a Prosthetic/Orthotic Supplier based in Wilmington, NC. Tracy Lynn Johnson practices in Wilmington, NC and has the professional credentials of CFTS. The NPI Number for Tracy Lynn Johnson is 1992938757 and holds a License No. CFTS0582 (North Carolina).

The current practice location address for Tracy Lynn Johnson is 2309 S 17Th St Ste 100, Wilmington, NC and can be reached out via phone at 910-392-5806 and via fax at 910-397-2867. You can also correspond with Tracy Lynn Johnson through the mailing address at 8504 LAKEVIEW DR, WILMINGTON, NC - 28412-3397 (mailing address contact number: 910-599-7077).

Location: 2309 S 17Th St Ste 100, Wilmington, NC, 28412-3397
person
Provider Profile Details
NPI Number
1992938757
Provider Name
Tracy Lynn Johnson
Credential
CFTS
Provider Entity Type
Individual
Gender
Female
Address
2309 S 17Th St Ste 100, Wilmington, NC, 28412-3397
Phone Number
910-392-5806
Fax Number
910-397-2867
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CFTS0582 01 NC ABC
institution
Provider Business Practice Location Address Details
Address
2309 S 17Th St Ste 100
City
State
Zip
28401-8006
Phone Number
910-392-5806
Fax Number
910-397-2867
person
Provider Business Mailing Address Details
Address
2309 S 17Th St Ste 100
City
State
Zip
28401-8006
Phone Number
910-392-5806
Fax Number
910-397-2867
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
CFTS0582 (North Carolina)
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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