Individual provider · Type 1 NPI

Inniss M. Tarawollie

Prosthetic/Orthotic Supplier · Indianapolis, IN

NPI number 1386306231 Active

Practice location

5108 W 38th St
Indianapolis, IN 46254-3326

Call (317) 760-7180 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XBC20501718 (IN)

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.

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About NPI 1386306231

Inniss M. Tarawollie's National Provider Identifier is 1386306231, issued on Oct 7, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 26, 2024.