Individual provider · Type 1 NPI

Clover Marjorie Colonel, R.N.

Prosthetic/Orthotic Supplier · Burlington, NC

NPI number 1831346964 Active

Practice location

1040 S Church St
Burlington, NC 27215-5046

Fax (336) 222-8091

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter 225000000XNone listed
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 1831346964

Clover Marjorie Colonel, R.N.'s National Provider Identifier is 1831346964, issued on Aug 20, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Burlington, NC. The record was last updated on Oct 25, 2019.