Individual provider · Type 1 NPI
Olivia Jackson, SPECIALIST
Prosthetic/Orthotic Supplier · Lynchburg, VA
Practice location
1200 Heath Ave
Lynchburg, VA 24502-1767
Mailing address
3730 Candlers Mountain Rd # 1098
Lynchburg, VA 24502-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 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.
About NPI 1730952763
Olivia Jackson, SPECIALIST's National Provider Identifier is 1730952763, issued on Nov 1, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lynchburg, VA. The record was last updated on Nov 1, 2023.