Individual provider · Type 1 NPI
Shassity Stevenson
Prosthetic/Orthotic Supplier · Charlotte, NC
Practice location
8500 Pineville Matthews Rd Ste M
Charlotte, NC 28226-4714
Mailing address
8334 Pineville Matthews Rd Ste 103-272
Charlotte, NC 28226-3774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 335E00000X (NC) |
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 1912725110
Shassity Stevenson's National Provider Identifier is 1912725110, issued on Sep 27, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 27, 2024.