Individual provider · Type 1 NPI

Anna Ellesor Gray Detweiler, CPO

Prosthetist · Norfolk, VA

NPI number 1356772305 Active

Practice location

6320 N Center Dr, Bldg 15 Suite 201
Norfolk, VA 23502-4009

Call (757) 892-5300 Map

Fax (757) 892-5303

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XNone listed
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1356772305

Anna Ellesor Gray Detweiler, CPO's National Provider Identifier is 1356772305, issued on Dec 2, 2013. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Norfolk, VA. The record was last updated on Jan 10, 2014.