Ondrey Tobias Isaac
Prosthetic/Orthotic Supplier in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1982102877
StatusActive
Last updated in NPPESJan 25, 2018
Details
- NPI
- 1982102877
- Entity type
- Individual (NPI-1)
- Name
- Ondrey Tobias Isaac
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2018
- Last updated
- Jan 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | CL1259854 | FL | Yes |
Practice location
971 N Hairston RdStone Mountain, GA 30083-2871
Phone 772-828-6370
Mailing address
1908 Avenue NFort Pierce, FL 34950-2055
Phone 772-828-6370
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All 5 Prosthetic/Orthotic Supplier providers in Stone Mountain · All 1,438 providers in Stone Mountain
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