Doctor Name: | ANTHONY JAMES |
NPI Number: | 1356710115 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1375 Friar Tuck Ln River Falls, WI - 540225915 |
Business Phone Number: | 7156291470 |
Business Fax Number: | |
Mailing Address: | 1375 Friar Tuck Ln, RIVER FALLS |
State: | WI |
Postal Code: | 540225915 |
Phone Number: | 7156291470 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2015 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |