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Prosthetic And Orthotic Care Llc
Prosthetic/Orthotic Supplier in Fairview Heights, Illinois
NPI 1629148739

Prosthetic And Orthotic Care Llc is a Prosthetic/Orthotic Supplier based in Saint Louis, IL. Prosthetic And Orthotic Care Llc practices in Fairview Heights, IL. The NPI Number for Prosthetic And Orthotic Care Llc is 1629148739 and holds a License No. (Illinois).

The current practice location address for Prosthetic And Orthotic Care Llc is 13 Executive Dr, Fairview Heights, IL and can be reached out via phone at 618-212-0006 and via fax at 618-212-0010.

Location: 13 Executive Dr, Fairview Heights, IL, 63131-1865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629148739
Provider Name
Prosthetic And Orthotic Care Llc
Credential
Provider Entity Type
Organization
Address
13 Executive Dr, Fairview Heights, IL, 63131-1865
Phone Number
618-212-0006
Fax Number
618-212-0010
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
625748603 05 MO
institution
Provider Business Practice Location Address Details
Address
13 Executive Dr
City
Fairview Heights
State
Illinois
Zip
62208-1342
Phone Number
618-212-0006
Fax Number
618-212-0010
person
Provider Business Mailing Address Details
Address
13 Executive Dr
City
Fairview Heights
State
Illinois
Zip
62208-1342
Phone Number
618-212-0006
Fax Number
618-212-0010
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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