Individual
ALEXANDER HETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1500 OWENS ST STE 115, SAN FRANCISCO, CA 94158-2338
(415) 476-1788
Mailing address
1500 OWENS ST STE 115, SAN FRANCISCO, CA 94158-2338
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP003890
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.
—
Enumeration date
10/19/2018
Last updated
10/19/2018
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