OrganizationActive
Michael H Theodoulou
NPI 1780859892 · Prosthetic/Orthotic Supplier · Washington, DC
Provider details
- NPI number
- 1780859892
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michael Theodoulou, President(202) 237-0038
- License
- P0558 (DC)
Specialties & taxonomies
Suppliers
Practice location
3301 New Mexico Ave Nw
Ste 221
Washington, DC 20016-3622
Phone: (202) 237-0038
Fax: (202) 237-2551
Approximate (ZIP-level) locationGet directions
Mailing address
3301 New Mexico Ave Nw
Washington, DC 20016-3622
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.