Individual provider · Type 1 NPI
Mikaelah Grant
Prosthetic/Orthotic Supplier · Lanham, MD
Practice location
4500 Forbes Blvd Ste 200-E21
Lanham, MD 20706-6312
Mailing address
712 H St NE Ste 1509
Washington, DC 20002-3627
Other practice locations
- 1125 Spring Rd NW Apt 301, Washington, DC 20010-1994 · (410) 900-7909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
| Personal Care Attendant | 3747P1801X | 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.
Other prosthetic/orthotic supplier providers in Lanham
About NPI 1649084856
Mikaelah Grant's National Provider Identifier is 1649084856, issued on Feb 6, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lanham, MD. The record was last updated on Jan 3, 2026.