Individual provider · Type 1 NPI
Satrina Gibson
Prosthetic/Orthotic Supplier · Detroit, MI
Practice location
20037 Lahser Rd
Detroit, MI 48219-1233
Mailing address
400 Manistique St
Detroit, MI 48215-3124
Other practice locations
- 400 Manistique St, Detroit, MI 48215-3124 · (248) 705-1118
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 1972290567
Satrina Gibson's National Provider Identifier is 1972290567, issued on Apr 24, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 24, 2023.