Individual provider · Type 1 NPI
Phyllis Watters
Prosthetic/Orthotic Supplier · Jonesboro, GA
Practice location
127 Jonesboro Rd # 2002
Jonesboro, GA 30236-2468
Mailing address
PO Box 871122
Morrow, GA 30287-1122
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.
Other prosthetic/orthotic supplier providers in Jonesboro
About NPI 1154190056
Phyllis Watters's National Provider Identifier is 1154190056, issued on Dec 20, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jonesboro, GA. The record was last updated on Dec 20, 2023.