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An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1629590799 |
| LBN Legal business name | BY ANDREA D. |
| Authorized official | ANDREA WORTHAM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/11/2017 |
| Last updated | 02/21/2024 - About 2 years ago |
| Identifiers | n/a |
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BY ANDREA D.