Organization · Type 2 NPI
The Wig Physician LLC
Prosthetic/Orthotic Supplier · Salisbury, NC
Practice location
109 Stone Ridge Dr
Salisbury, NC 28146-6300
Mailing address
123 Institute St Unit 202
Mooresville, NC 28115-4908
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.
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About NPI 1457949489
The Wig Physician LLC's National Provider Identifier is 1457949489, issued on Jan 5, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Salisbury, NC. The record was last updated on Jan 5, 2021.