Organization
OTTO BOCK ORTHOPEDIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LEWIS (EVP OF LICENSURE)
(512) 806-2756
Entity
Organization
Contact information
Practice address
2387 S LINDEN RD STE 102, FLINT, MI 48532-5487
(800) 736-8276
Mailing address
PO BOX 734949, DALLAS, TX 75373-4949
(800) 736-8276
(866) 642-2302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/01/2024
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