Individual provider · Type 1 NPI

Regjinique Harris

Prosthetic/Orthotic Supplier · Charlotte, NC

NPI number 1114848546 Active

Practice location

11709 Fruehauf Dr Ste 222
Charlotte, NC 28273-0043

Call (704) 904-7898 Map

Mailing address

12924 Lake Erie Ln
Charlotte, NC 28273-7145

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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.

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About NPI 1114848546

Regjinique Harris's National Provider Identifier is 1114848546, issued on Jul 22, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 22, 2026.