Individual provider · Type 1 NPI
Angelique Michelle Davis
Prosthetic/Orthotic Supplier · Los Angeles, CA
Practice location
4705 Willow Brook Ave, Apt 6
Los Angeles, CA 90029
Mailing address
4705 Willow Brook Ave Apt 6
Los Angeles, CA 90029-1093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1952081648
Angelique Michelle Davis's National Provider Identifier is 1952081648, issued on Jul 19, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 19, 2023.