institution
Promyse-prosthetic Orthotic Group
Prosthetic/Orthotic Supplier in Shreveport, Louisiana
NPI 1811961436

Promyse-prosthetic Orthotic Group is a Prosthetic/Orthotic Supplier based in Shreveport, LA. Promyse-prosthetic Orthotic Group practices in Shreveport, LA. The NPI Number for Promyse-prosthetic Orthotic Group is 1811961436 and holds a License No. (Louisiana).

The current practice location address for Promyse-prosthetic Orthotic Group is 3227 Portland Ave, Shreveport, LA and can be reached out via phone at 318-636-9145 and via fax at 318-636-3746. You can also correspond with Promyse-prosthetic Orthotic Group through the mailing address at 3227 PORTLAND AVE, SHREVEPORT, LA - 71103-4026 (mailing address contact number: 318-636-9145).

Location: 3227 Portland Ave, Shreveport, LA, 71103-4026
institution
Provider Profile Details
NPI Number
1811961436
Provider Name
Promyse-prosthetic Orthotic Group
Credential
Provider Entity Type
Organization
Address
3227 Portland Ave, Shreveport, LA, 71103-4026
Phone Number
318-636-9145
Fax Number
318-636-3746
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100802440A 05 OK
120085716 05 AR
075470701 05 TX
1370371 05 LA
00440756 05 MS
institution
Provider Business Practice Location Address Details
Address
3227 Portland Ave
City
State
Zip
71103-4026
Phone Number
318-636-9145
Fax Number
318-636-3746
person
Provider Business Mailing Address Details
Address
3227 Portland Ave
City
State
Zip
71103-4026
Phone Number
318-636-9145
Fax Number
318-636-3746
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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