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Pediatric Orthotic And Prosthetic Services - Midwest, Llc
Prosthetic/Orthotic Supplier in Woodbury, Minnesota
NPI 1154721785

Pediatric Orthotic And Prosthetic Services - Midwest, Llc is a Prosthetic/Orthotic Supplier based in Orlando, MN. Pediatric Orthotic And Prosthetic Services - Midwest, Llc practices in Woodbury, MN. The NPI Number for Pediatric Orthotic And Prosthetic Services - Midwest, Llc is 1154721785 and holds a License No. (Minnesota).

The current practice location address for Pediatric Orthotic And Prosthetic Services - Midwest, Llc is 215 Radio Dr Ste 100, Woodbury, MN and can be reached out via phone at 612-593-6205 and via fax at 612-335-5396.

Location: 215 Radio Dr Ste 100, Woodbury, MN, 32886-5109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154721785
Provider Name
Pediatric Orthotic And Prosthetic Services - Midwest, Llc
Credential
Provider Entity Type
Organization
Address
215 Radio Dr Ste 100, Woodbury, MN, 32886-5109
Phone Number
612-593-6205
Fax Number
612-335-5396
Provider Enumeration Date
09/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 Radio Dr Ste 100
City
Woodbury
State
Minnesota
Zip
55125-5817
Phone Number
612-593-6205
Fax Number
612-335-5396
person
Provider Business Mailing Address Details
Address
215 Radio Dr Ste 100
City
Woodbury
State
Minnesota
Zip
55125-5817
Phone Number
612-593-6205
Fax Number
612-335-5396
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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