Individual provider · Type 1 NPI

Erica Latoya Shackelford

Prosthetic/Orthotic Supplier · San Francisco, CA

NPI number 1134945694 Active

Practice location

166 Geary St Fl 15
San Francisco, CA 94108-5631

Other practice locations

  • 22335 Foothill Blvd Unit 3062, Hayward, CA 94541-2754 · (305) 916-0946

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.

2 other providers at this address

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About NPI 1134945694

Erica Latoya Shackelford's National Provider Identifier is 1134945694, issued on Dec 2, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in San Francisco, CA. The record was last updated on Dec 2, 2024.