NPI 1639647993

Madison Vansavage Maben

Practitioner Orthotist Chesapeake, VA

Practice location

Address: 433 Network Sta, Chesapeake, VA 23320
Phone: (757) 892-5300
Fax: (757) 892-5303
Mailing address: 433 Network Sta, Chesapeake, VA 23320-3851

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO005977 (VA)

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Registry record

NPI: 1639647993
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2018
Record last updated: 30 May 2019

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.