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Prosthetic Center Of Indiana, Llc
Prosthetic/Orthotic Supplier in Bloomington, Indiana
NPI 1093862054

Prosthetic Center Of Indiana, Llc is a Prosthetic/Orthotic Supplier based in Bloomington, IN. Prosthetic Center Of Indiana, Llc practices in Bloomington, IN. The NPI Number for Prosthetic Center Of Indiana, Llc is 1093862054 and holds a License No. (Indiana).

The current practice location address for Prosthetic Center Of Indiana, Llc is 321 E Winslow Rd, Bloomington, IN and can be reached out via phone at 812-332-5347 and via fax at 812-323-2939.

Location: 321 E Winslow Rd, Bloomington, IN, 47401-8648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093862054
Provider Name
Prosthetic Center Of Indiana, Llc
Credential
Provider Entity Type
Organization
Address
321 E Winslow Rd, Bloomington, IN, 47401-8648
Phone Number
812-332-5347
Fax Number
812-323-2939
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000301965 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
321 E Winslow Rd
City
Bloomington
State
Indiana
Zip
47401-8648
Phone Number
812-332-5347
Fax Number
812-323-2939
person
Provider Business Mailing Address Details
Address
321 E Winslow Rd
City
Bloomington
State
Indiana
Zip
47401-8648
Phone Number
812-332-5347
Fax Number
812-323-2939
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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