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Orthotic And Prosthetic Lab, Inc.
Prosthetic/Orthotic Supplier in Bridgeton, Missouri
NPI 1427212471

Orthotic And Prosthetic Lab, Inc. is a Prosthetic/Orthotic Supplier based in Webster Groves, MO. Orthotic And Prosthetic Lab, Inc. practices in Bridgeton, MO. The NPI Number for Orthotic And Prosthetic Lab, Inc. is 1427212471 and holds a License No. (Missouri).

The current practice location address for Orthotic And Prosthetic Lab, Inc. is 12266 Depaul Dr, Bridgeton, MO and can be reached out via phone at 314-739-9300.

Location: 12266 Depaul Dr, Bridgeton, MO, 63119-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427212471
Provider Name
Orthotic And Prosthetic Lab, Inc.
Credential
Provider Entity Type
Organization
Address
12266 Depaul Dr, Bridgeton, MO, 63119-1924
Phone Number
314-739-9300
Fax Number
Provider Enumeration Date
07/17/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
621818608 05 MO
institution
Provider Business Practice Location Address Details
Address
12266 Depaul Dr
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-739-9300
Fax Number
person
Provider Business Mailing Address Details
Address
12266 Depaul Dr
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-739-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
213.000099 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
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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