Organization
OLD DOMINION PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE B GARRISON (BUSINESS MANAGER)
(434) 973-6209
Entity
Organization
Contact information
Practice address
1920 MEDICAL AVE, SUITE G, HARRISONBURG, VA 22801-8016
(540) 433-3831
(540) 433-5447
Mailing address
1920 MEDICAL AVE, SUITE G, HARRISONBURG, VA 22801-8016
(540) 433-3831
(540) 433-5447
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106977
ANTHEM
VA
05
—
9890034000
—
WV
Enumeration date
09/20/2006
Last updated
07/21/2022
Update your record
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