Organization · Type 2 NPI
Functional Dme
Prosthetic/Orthotic Supplier · Washington, LA
Practice location
930B Prayer House Rd
Washington, LA 70589-9113
Fax (225) 412-9957
Mailing address
PO Box 1772
Opelousas, LA 70571-1772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| 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.
About NPI 1407347586
Functional Dme's National Provider Identifier is 1407347586, issued on May 23, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Washington, LA. The record was last updated on Feb 3, 2021.