Individual provider · Type 1 NPI

Kathleen Elizabeth Brockway

Prosthetic/Orthotic Supplier · Jacksonville, FL

NPI number 1720227465 Active

Practice location

13740 Beach Blvd Ste 404
Jacksonville, FL 32224-6036

Call (904) 223-5595 Map

Fax (904) 223-5594

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 1720227465

Kathleen Elizabeth Brockway's National Provider Identifier is 1720227465, issued on Feb 19, 2009. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 19, 2009.