Mr. Randy Lee Yassem
Prosthetist
234 Owen Drive Total Rehab Othotics & Prosthetics Inc
Fayetteville
, North Carolina 28304
Mr. Randy Lee Yassem
Prosthetist
234 Owen Drive Total Rehab Othotics & Prosthetics Inc
Fayetteville
, North Carolina 28304
(910) 486-8712
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Randy Lee Yassem
- Po Box 87067
- Fayetteville, NC
- Zip : 28304
- Fax : (910) 486-8712
- Phone : (910) 323-9016
Second Address
- Mr. Randy Lee Yassem
- 234 Owen Drive Total Rehab Othotics & Prosthetics Inc
- Fayetteville, NC
- Zip : 28304
- Fax : (910) 486-8712
- Phone : (910) 323-9016
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1053410845 |
|---|---|
| Provider Name | Mr. Randy Lee Yassem |
| First Address | Fayetteville, NC 28304 |
| Second Address | Fayetteville, NC 28304 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 26/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7795106 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.