NPI 1780859892

Michael H Theodoulou

Organisation Prosthetic/Orthotic Supplier Washington, DC

Practice location

Address: 3301 New Mexico Ave NW STE 221, Washington, DC 20016-3622
Phone: (202) 237-0038
Fax: (202) 237-2551

Authorised official

Name: Michael H Theodoulou
Title: President
Phone: (202) 237-0038

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence P0558 (DC)

Other Prosthetic/Orthotic Supplier providers in District of Columbia →

Registry record

NPI: 1780859892
Entity type: Organization
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

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.