Organization
SOUND LIMBS ORTHOTICS, INC.
Active
Other names
Sound Limbs Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D PARK JR. C.O. (PRESIDENT)
(207) 784-4345
Entity
Organization
Contact information
Practice address
39 S LISBON RD, LEWISTON, ME 04240-1404
(207) 784-4345
(207) 783-9496
Mailing address
39 S LISBON RD, LEWISTON, ME 04240-1404
(207) 784-4345
(207) 783-9496
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126940000
—
ME
Enumeration date
09/13/2005
Last updated
10/27/2009
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