NPI 1083058721

Synergy Orthotics & Prosthetics, LLC

Organisation Prosthetic/Orthotic Supplier Ashburn, VA

Practice location

Address: 44790 Maynard Sq STE 240, Ashburn, VA 20147-6514
Phone: (571) 442-8514
Fax: (571) 442-8519

Authorised official

Name: Johnny Emmanuel Baskin
Title: Owner/ Practitioner
Phone: (703) 209-3790

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CP03073 (VA)

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Registry record

NPI: 1083058721
Entity type: Organization
NPI issued: 24 Apr 2013
Record last updated: 3 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.