D. DOUGLAS SHAW NPI 1659544054

NPI Information

D. DOUGLAS SHAW is a prosthetic orthotic supplier in Williston, VT. 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. D. DOUGLAS SHAW NPI is 1659544054. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthoteknics.

The provider's business location address is:

312 COMMERCE ST
UNIT 10
WILLISTON, VT
ZIP 05495-832
Phone: (802) 864-9909

The provider's authorized official is D. Douglas Shaw .
The authorized official title is Owner and has the following contact phone number (802) 864-9909.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 10/3/2008.

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

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