Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1639131592 |
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| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | Not specified | ||||||||||||||||||||||||||||
| Enumeration date | 04/05/2006 | ||||||||||||||||||||||||||||
| Last updated | 09/30/2013 - About 13 years ago | ||||||||||||||||||||||||||||
| Identifiers |
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GREG BERRY
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