MRS. GLADYS REA SMITH CERTIFIED MASTECTOMY NPI 1770639767

NPI Information

MRS. Gladys Rea Smith, CERTIFIED MASTECTOMY is a prosthetic orthotic supplier in Alexandria, VA. 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. Gladys Rea Smith, CERTIFIED MASTECTOMY NPI is 1770639767. 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:

50 S PICKETT ST
SUITE 210
ALEXANDRIA, VA
ZIP 22304-206
Phone: (703) 461-7534
Fax: (703) 461-7534

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/8/2007.

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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