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Organization

DAVIDSON PROSTHETICS & ORTHOTICS

Active
Parent organization
HANGER INC
Other names
Renew Prosthetics and Orthotics Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (PROVIDER CONTRACT ANALYST III)
(714) 961-2102
Entity
Organization

Contact information

Practice address
146 MEDICAL PARK RD STE 102, MOORESVILLE, NC 28117-8529
(704) 765-9837
(704) 997-2679
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/02/2013
Last updated
03/08/2024
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