Individual provider · Type 1 NPI

Antonio Mario Sergio Sr., REG SHOE-MAKER MERCH

Orthotist · South Bend, IN

NPI number 1437301074 Active

Practice location

1508 Mishawaka Avenue
South Bend, IN 46615-1426

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000XNone listed
Orthotic Fitter 225000000XNone listed

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1437301074

Antonio Mario Sergio Sr., REG SHOE-MAKER MERCH's National Provider Identifier is 1437301074, issued on Oct 15, 2008. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in South Bend, IN. The record was last updated on Oct 15, 2008.