Individual provider · Type 1 NPI

Imogene W. Cantrell

Prosthetic/Orthotic Supplier · Columbus, GA

NPI number 1568523488 Active

Practice location

1129 13th St
Columbus, GA 31901-2248

Fax (706) 660-8877

Mailing address

PO Box 4618
Columbus, GA 31914-0618

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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 1568523488

Imogene W. Cantrell's National Provider Identifier is 1568523488, issued on Dec 13, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.