Organization
OLD DOMINION PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE B GARRISON (BUSINESS MANAGER)
(434) 973-6209
Entity
Organization
Contact information
Practice address
2050 LANGHORNE RD, SUITE 200, LYNCHBURG, VA 24501-1402
(434) 528-1030
(434) 528-1043
Mailing address
2050 LANGHORNE RD, SUITE 200, LYNCHBURG, VA 24501-1402
(434) 528-1030
(434) 528-1043
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106977
ANTHEM
VA
Enumeration date
09/22/2006
Last updated
07/21/2022
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