Individual provider · Type 1 NPI

Satrina Gibson

Prosthetic/Orthotic Supplier · Detroit, MI

NPI number 1972290567 Active

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

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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.