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An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Amputee |
261QA0900X |
| NPI Number | 1992976013 |
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| LBN Legal business name | SPIRIT PROSTHETICS | ||||
| Authorized official | BRIAN JOHNSON - (OWNER/PROSTHETIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/17/2008 | ||||
| Last updated | 03/17/2008 - About 18 years ago | ||||
| Identifiers |
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SPIRIT PROSTHETICS