Individual provider · Type 1 NPI
Morale Vonetta Holstick
Prosthetic/Orthotic Supplier · Duluth, GA
Practice location
3330 Satellite Blvd
Duluth, GA 30096-5821
Mailing address
1110 Pepper Ln
Lawrenceville, GA 30044-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | COSA063639 (GA) |
| 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.
2 other providers at this address
About NPI 1962182402
Morale Vonetta Holstick's National Provider Identifier is 1962182402, issued on Jul 19, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Duluth, GA. The record was last updated on Aug 17, 2023.