Individual provider · Type 1 NPI

Crystal Angela White

Prosthetic/Orthotic Supplier · Fort Washington, MD

NPI number 1174004535 Active

Practice location

11006 Spring Forest Way
Fort Washington, MD 20744-4877

Other practice locations

  • 10903 Indian Head Hwy Ste 103, Fort Washington, MD 20744-4006 · (301) 535-7367

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X105214 (MD)

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.

About NPI 1174004535

Crystal Angela White's National Provider Identifier is 1174004535, issued on Aug 23, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fort Washington, MD. The record was last updated on Aug 23, 2018.