# NUTMEG ORTHOTICS AND PROSTHETICS LLC

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

## Provider details

- **NPI number:** 1558798355
- **Authorized official:** JENNIFER L MANOUSE (MEMBER)
- **Authorized official phone:** (860) 488-1062

## Contact information

- **Practice address:** 85 BARNES RD STE 302, WALLINGFORD, CT 06492-1832
- **Practice address phone:** (860) 488-1062
- **Mailing address:** 131 KENT RD \# BUIDINGB, NEW MILFORD, CT 06776-3485
- **Mailing address phone:** (860) 488-1062

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2013
- **Last updated:** 03/24/2015