Organization · Type 2 NPI

Davidson Prosthetics & Orthotics

Prosthetic/Orthotic Supplier · Mooresville, NC

NPI number 1922341544 Active

Practice location

146 Medical Park Rd Ste 102
Mooresville, NC 28117-8529

Call (704) 765-9837 Map

Fax (704) 997-2679

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
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.

Another provider at this address

Hanger Prosthetics & Orthotics East IncProsthetic/Orthotic Supplier Mooresville, NC NPI 1598839474

Other prosthetic/orthotic supplier providers in Mooresville

See all in Mooresville →

NPI record

NPI: 1922341544
Entity type: Organization (Type 2)
Issued: Apr 2, 2013
Last updated: Mar 8, 2024
Status: Active
Subpart: Yes of Hanger Inc

Other names

<unavail>
Renew Prosthetics and Orthotics Inc. · doing business as

Authorized official

Grace Angeline
Provider Contract Analyst III
(714) 961-2102

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922341544

Davidson Prosthetics & Orthotics's National Provider Identifier is 1922341544, issued on Apr 2, 2013. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mooresville, NC. The record was last updated on Mar 8, 2024.