An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
taxonomy 224L00000X
Identifiers
Type
Value
Notes
01 (TX)
6716820001
MEDICARE PTAN
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Arches
Type code 3recorded 2012-06-02
Practice context
Multi-provider organization.
6 individual providers on file at this primary address.
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