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Organization
PATRIOT ORTHOTIC PRODUCTS LLC
Active
Organization
PATRIOT ORTHOTIC PRODUCTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D RAYMOND PT, CPED (GENERAL PARTNER)
(978) 794-5528
Entity
Organization
Contact information
Practice address
790 TURNPIKE ST, SUITE 202, NORTH ANDOVER, MA 01845-6144
(978) 794-5528
(978) 794-5529
Mailing address
790 TURNPIKE ST, SUITE 202, NORTH ANDOVER, MA 01845-6144
(978) 794-5528
(978) 794-5529
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8200611
UNITEDHEALTHCARE DME PROV
MA
Enumeration date
06/03/2006
Last updated
08/22/2020
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