Individual provider · Type 1 NPI

Benjamin Dale Fortson, MPO, CPO

Prosthetist · Rockville, MD

NPI number 1497296537 Active

Practice location

15200 Shady Grove Rd Ste 102
Rockville, MD 20850-3218

Fax (240) 261-4489

Other practice locations

  • 73 Thomas Johnson Dr Ste B, Frederick, MD 21702-4426 · (301) 698-4692

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XCO005694 (DE)
Prosthetist Primary 224P00000XCPO04027 (DE)

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.

2 other providers at this address

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About NPI 1497296537

Benjamin Dale Fortson, MPO, CPO's National Provider Identifier is 1497296537, issued on Mar 8, 2017. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Rockville, MD. The record was last updated on Apr 24, 2018.