MRS. TRACY LYNN JOHNSON CFTS NPI 1992938757

NPI Information

MRS. Tracy Lynn Johnson, CFTS is a prosthetic orthotic supplier in Wilmington, NC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MRS. Tracy Lynn Johnson, CFTS NPI is 1992938757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2309 S 17TH ST STE 100
WILMINGTON, NC
ZIP 28401-006
Phone: (910) 392-5806
Fax: (910) 397-2867

The enumeration date for this NPI number is 8/27/2009 and was last updated on 8/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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