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Organization

VIRGINIA PROSTHETICS, INC.

Active
Other names
Formotion Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
BRADFORD NEIL GARDNER (DIRECTOR)
(615) 864-8783
Entity
Organization

Contact information

Practice address
1920 MEDICAL AVE, SUITE G, HARRISONBURG, VA 22801-8016
(540) 433-3831
Mailing address
4338 WILLIAMSON RD NW, ROANOKE, VA 24012-2821
(540) 366-8287
(540) 366-3050

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
03/17/2011
Last updated
02/16/2026
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