Organization
BY ANDREA D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WORTHAM (OWNER)
(513) 560-9624
Entity
Organization
Contact information
Practice address
2834 ALMESTER DR, CINCINNATI, OH 45211-7603
(513) 560-9624
(513) 389-1605
Mailing address
2834 ALMESTER DR, CINCINNATI, OH 45211-7603
(513) 560-9624
(513) 389-1605
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/11/2017
Last updated
02/21/2024
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