Organization · Type 2 NPI

Spectrum of Santa Rosa

Prosthetic/Orthotic Supplier · Santa Rosa, CA

NPI number 1821484056 Active

Practice location

1041 4th St
Santa Rosa, CA 95404-4329

Mailing address

1180 Crater Lake Ave
Medford, OR 97504-6242

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.

7 other providers at this address

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About NPI 1821484056

Spectrum of Santa Rosa's National Provider Identifier is 1821484056, issued on Apr 14, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 14, 2015.