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Contact Information

YVETTE TUCKER
150 ALLENDALE RD STE 3301
KING OF PRUSSIA, PA19406-5048
 Phone: 484-580-9818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotics/Prosthetics Fitter

225000000X
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for

NPI # 1649038324
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/07/2024
Last updated 06/11/2025 - About 12 months ago
Identifiers
PA License # CO275015
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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