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NPI Profile for BROADLEAF HEALTH AND WELLNESS in BERWYN, IL.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1316477938 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/15/2017 | |
| Last updated | 07/21/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BROADLEAF HEALTH AND WELLNESS
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BROADLEAF HEALTH AND WELLNESS