Organization · Type 2 NPI
Jan Pedersen
Prosthetic/Orthotic Supplier · West Sand Lake, NY
Practice location
23 Algonquin Rd
West Sand Lake, NY 12196-2000
Fax (518) 674-8320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
About NPI 1104007442
Jan Pedersen's National Provider Identifier is 1104007442, issued on Nov 15, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in West Sand Lake, NY. The record was last updated on Nov 15, 2007.