Organization · Type 2 NPI

Tammy L Dirksen

Prosthetic/Orthotic Supplier · Fresno, CA

NPI number 1558559484 Active

Practice location

2039 N Fine Ave
Fresno, CA 93727-1512

Fax (559) 251-5559

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.

4 other providers at this address

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NPI record

NPI: 1558559484
Entity type: Organization (Type 2)
Issued: Oct 4, 2007
Last updated: Jul 12, 2022
Status: Active

Other names

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Central Orthotic & Prosthetic · doing business as
Central Orthotic & Prosthetic · doing business as

Authorized official

Tammy Dirksen, CO
Owner
(559) 251-5557

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About NPI 1558559484

Tammy L Dirksen's National Provider Identifier is 1558559484, issued on Oct 4, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 12, 2022.