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Odyssey Prosthetics & Orthotics Inc.
Prosthetic/Orthotic Supplier in San Bernardino, California
NPI 1356370423

Odyssey Prosthetics & Orthotics Inc. is a Prosthetic/Orthotic Supplier based in San Bernardino, CA. Odyssey Prosthetics & Orthotics Inc. practices in San Bernardino, CA. The NPI Number for Odyssey Prosthetics & Orthotics Inc. is 1356370423 and holds a License No. CPO1431 (California).

The current practice location address for Odyssey Prosthetics & Orthotics Inc. is 738 S Waterman Ave Ste A4, San Bernardino, CA and can be reached out via phone at 909-890-0577 and via fax at 909-890-5504.

Location: 738 S Waterman Ave Ste A4, San Bernardino, CA, 92408-2355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356370423
Provider Name
Odyssey Prosthetics & Orthotics Inc.
Credential
Provider Entity Type
Organization
Address
738 S Waterman Ave Ste A4, San Bernardino, CA, 92408-2355
Phone Number
909-890-0577
Fax Number
909-890-5504
Provider Enumeration Date
07/01/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XB0021550 05 CA
institution
Provider Business Practice Location Address Details
Address
738 S Waterman Ave Ste A4
City
San Bernardino
State
California
Zip
92408-2355
Phone Number
909-890-0577
Fax Number
909-890-5504
person
Provider Business Mailing Address Details
Address
738 S Waterman Ave Ste A4
City
San Bernardino
State
California
Zip
92408-2355
Phone Number
909-890-0577
Fax Number
909-890-5504
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPO1431 (California)
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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