IndividualActive
Carolett Wise
NPI 1821817024 · Prosthetics Case Management · Woodbridge, VA
Provider details
- NPI number
- 1821817024
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1201079134 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
13885 Hedgewood Dr
Woodbridge, VA 22193-7928
Phone: (571) 212-6176
Approximate (ZIP-level) locationGet directions
Mailing address
13885 Hedgewood Dr
Woodbridge, VA 22193-7928
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.