Organization · Type 2 NPI

Michael H Theodoulou

Prosthetic/Orthotic Supplier · Washington, DC

NPI number 1780859892 Active

Practice location

3301 New Mexico Ave NW, Ste 221
Washington, DC 20016-3622

Fax (202) 237-2551

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XP0558 (DC)

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 1780859892

Michael H Theodoulou's National Provider Identifier is 1780859892, issued on Apr 29, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Washington, DC. The record was last updated on Apr 29, 2008.