institution
Srt Prosthetics & Orthotics Llc
Prosthetic/Orthotic Supplier in Fort Wayne, Indiana
NPI 1508804295

Srt Prosthetics & Orthotics Llc is a Prosthetic/Orthotic Supplier based in Butler, IN. Srt Prosthetics & Orthotics Llc practices in Fort Wayne, IN. The NPI Number for Srt Prosthetics & Orthotics Llc is 1508804295 and holds a License No. (Indiana).

The current practice location address for Srt Prosthetics & Orthotics Llc is 3818 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-8886 and via fax at 260-432-1137. You can also correspond with Srt Prosthetics & Orthotics Llc through the mailing address at 408 E WASHINGTON ST, BUTLER, IN - 46721-1179 (mailing address contact number: 419-633-3961).

Location: 3818 W Jefferson Blvd, Fort Wayne, IN, 46721-1179
institution
Provider Profile Details
NPI Number
1508804295
Provider Name
Srt Prosthetics & Orthotics Llc
Credential
Provider Entity Type
Organization
Address
3818 W Jefferson Blvd, Fort Wayne, IN, 46721-1179
Phone Number
260-432-8886
Fax Number
260-432-1137
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200360760 05 IN
21825 01 IN ABP
000000229696 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
3818 W Jefferson Blvd
City
State
Zip
46804-6840
Phone Number
260-432-8886
Fax Number
260-432-1137
person
Provider Business Mailing Address Details
Address
408 E Washington St
City
State
Zip
46721-1179
Phone Number
419-633-3961
Fax Number
419-633-3981
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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