An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1982202545 |
| LBN Legal business name | DAVIDSON PROSTHETICS & ORTHOTICS |
| Authorized official | GRACE ANGELINE - (PROVIDER CONTRACT ANALYST III) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/15/2020 |
| Last updated | 03/05/2024 - About 2 years ago |
| Identifiers | n/a |
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