# CORNELL ORTHOTICS & PROSTHETICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275766503
- **Authorized official:** MS. SANDRA J WHEELER PTA (PRACTICE MANAGER)
- **Authorized official phone:** (978) 922-2866

## Contact information

- **Practice address:** 104 ENDICOTT ST, LL3, DANVERS, MA 01923-3623
- **Practice address phone:** (978) 922-2866
- **Practice address fax:** (978) 922-0277
- **Mailing address:** 100 CUMMINGS CTR, SUITE 207H, BEVERLY, MA 01915-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2009
- **Last updated:** 09/03/2009