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Organization
NUTMEG ORTHOTICS AND PROSTHETICS LLC
Active
Organization
NUTMEG ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L MANOUSE (MEMBER)
(860) 488-1062
Entity
Organization
Contact information
Practice address
85 BARNES RD STE 302, WALLINGFORD, CT 06492-1832
(860) 488-1062
Mailing address
131 KENT RD # BUIDINGB, NEW MILFORD, CT 06776-3485
(860) 488-1062
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
10/11/2013
Last updated
03/24/2015
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