Individual provider · Type 1 NPI

Teckela Samyell Green

Prosthetic/Orthotic Supplier · Richmond, VA

NPI number 1700575180 Active

Practice location

8760 Landmark Rd Ste A
Richmond, VA 23228-2802

Call (804) 688-0000 Map

Fax (804) 774-7533

Mailing address

8760 Landmark Rd
Richmond, VA 23228-2802

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 1700575180

Teckela Samyell Green's National Provider Identifier is 1700575180, issued on May 2, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Richmond, VA. The record was last updated on May 9, 2023.