NPI 1508105875

Wayne Washington

Practitioner Orthotic Fitter Valdosta, GA

Practice location

Address: 422 E Park Ave, Valdosta, GA 31602-3036
Phone: (229) 247-5374
Fax: (229) 241-1981

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CO040287 (GA)

Other Orthotic Fitter providers in Georgia →

Registry record

NPI: 1508105875
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2013
Record last updated: 6 Feb 2013

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.