# ORTHOTIC & PROSTHETIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** O & P Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649386293
- **Authorized official:** MR. ROBERT E JOHANSEN CO (PRESIDENT)
- **Authorized official phone:** (218) 847-6767

## Contact information

- **Practice address:** 214 FRONT ST W, DETROIT LAKES, MN 56501-3020
- **Practice address phone:** (218) 847-6767
- **Practice address fax:** (218) 847-7676
- **Mailing address:** 810 S MAPLE ST, WATERTOWN, SD 57201
- **Mailing address phone:** (605) 886-3272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | CO1105 | MN | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020