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Hagopian Shoes, Llc
Prosthetic/Orthotic Supplier in Wood River, Illinois
NPI 1760418099

Hagopian Shoes, Llc is a Prosthetic/Orthotic Supplier based in Wood River, IL. Hagopian Shoes, Llc practices in Wood River, IL. The NPI Number for Hagopian Shoes, Llc is 1760418099 and holds a License No. 212000071 (Illinois).

The current practice location address for Hagopian Shoes, Llc is 48 E Ferguson Ave, Wood River, IL and can be reached out via phone at 618-254-0276 and via fax at 618-254-1233.

Location: 48 E Ferguson Ave, Wood River, IL, 62095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760418099
Provider Name
Hagopian Shoes, Llc
Credential
Provider Entity Type
Organization
Address
48 E Ferguson Ave, Wood River, IL, 62095
Phone Number
618-254-0276
Fax Number
618-254-1233
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
48 E Ferguson Ave
City
Wood River
State
Illinois
Zip
62095
Phone Number
618-254-0276
Fax Number
618-254-1233
person
Provider Business Mailing Address Details
Address
48 E Ferguson Ave
City
Wood River
State
Illinois
Zip
62095
Phone Number
618-254-0276
Fax Number
618-254-1233
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
212000071 (Illinois)
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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