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NPI Profile for MARY DIANE JOHNSON TMD OUTLET in LEBANON, MO.
(1) An individual who, under the guidance of and in consultation with the orthotist/prosthetist, fabricates orthotics/prosthetics in such a manner as to provide maximum fit, function, cosmesis and workmanship. (2) An individual who, under the direction of a orthotist/prothetist, follows prescriptions and specifications to determine a device, such as a brace, to be made and the materials and tools needed to make the device. A technician then develops the devices.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthotics/Prosthetics Fitter |
225000000X |
| NPI Number | 1649389388 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/29/2006 | |
| Last updated | 06/16/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MARY DIANE JOHNSON TMD OUTLET
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| HANNAH R BARTLETT 57 E MAIN ST ADRIAN, MO |
| ELIZABETH K BROWN, PLPC 1804 LAFAYETTE AVE., 2ND FLOOR WEST , SAINT LOUIS, MO |
MARY DIANE JOHNSON TMD OUTLET