Individual provider · Type 1 NPI

Nichelle Crawford

Prosthetic/Orthotic Supplier · Corona, CA

NPI number 1629966767 Active

Practice location

2621 Green River Road, #105-2106
Corona, CA 92882-7454

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 1629966767

Nichelle Crawford's National Provider Identifier is 1629966767, issued on Jun 26, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Corona, CA. The record was last updated on Jun 26, 2025.