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Organization

VIRGINIA PROSTHETICS INC

Active
Other names
ForMotion Clinic
Organization subpart
No

Provider details

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

Contact information

Practice address
4338 WILLIAMSON RD NW, ROANOKE, VA 24012-2821
(540) 366-8287
(540) 366-0186
Mailing address
4338 WILLIAMSON RD NW, ROANOKE, VA 24012-2821
(540) 366-8287
(540) 366-0186

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009190091
VA
Enumeration date
06/28/2005
Last updated
02/16/2026
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