Organization
DAVIDSON PROSTHETICS & ORTHOTICS
Active
Organization
DAVIDSON PROSTHETICS & ORTHOTICS
Active
Parent organization
HANGER INC
Other names
Renew Prosthetics and Orthotics
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
845 CHURCH ST N STE 205, CONCORD, NC 28025-4374
(704) 467-8000
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/05/2024
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