Organization · Type 2 NPI
Vivian L Martin
Prosthetic/Orthotic Supplier · Mount Vernon, IL
Practice location
1024 Jordan St
Mount Vernon, IL 62864-4231
Fax (618) 242-3942
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
Other prosthetic/orthotic supplier providers in Mount Vernon
About NPI 1194078816
Vivian L Martin's National Provider Identifier is 1194078816, issued on Oct 18, 2012. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Oct 18, 2012.