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Organization
OWENS CAROLINA ORTHOTIC & PROSTHETIC NETWORK, INC.
Active
Organization
OWENS CAROLINA ORTHOTIC & PROSTHETIC NETWORK, INC.
Active
Other names
Carolina Brace, Owens Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WALLACE (ADMINISTRATOR)
(704) 332-5143
Entity
Organization
Contact information
Practice address
3535 RANDOLPH RD STE 210, CHARLOTTE, NC 28211-5027
(704) 332-5143
(866) 670-5370
Mailing address
PO BOX 1268, FORT MILL, SC 29716-1268
(704) 332-5143
(866) 670-5370
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705024
—
NC
Enumeration date
05/08/2006
Last updated
06/09/2026
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