NPI 1710736780

Elizabeth Marie Nicklaus, CPO

Practitioner Orthotist Virginia Beach, VA

Practice location

Address: 509 Viking Dr STE E, Virginia Beach, VA 23452-7323
Phone: (757) 275-8050
Fax: (888) 600-5328

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO05072

Other Orthotist providers in Virginia →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO05072

Other Prosthetist providers in Virginia →

Registry record

NPI: 1710736780
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2024
Record last updated: 14 May 2024

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.