Organization
OTTO BOCK PATIENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
4050 FORT ST, LINCOLN PARK, MI 48146-4123
(313) 386-3330
Mailing address
PO BOX 737155, DALLAS, TX 75373-7155
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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