Organization
TOTAL REHAB ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER FOSUT MARCHANT CFM (PRESIDENT / OWNER)
(910) 323-9016
Entity
Organization
Contact information
Practice address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Mailing address
PO BOX 87067, FAYETTEVILLE, NC 28304-7067
(910) 323-9016
(910) 486-8712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1005584
NC
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0478V
BCBS
NC
05
—
7701177
—
NC
01
—
8238886
UNITED HEALTHCARE
—
Enumeration date
06/10/2005
Last updated
11/22/2021
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