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Organization

HORTONS ORTHOTIC LAB, INC.

Active
Parent organization
HORTONS ORTHOTIC LAB, INC.
Other names
Hortons Orthotics & Prosthetics
Organization subpart
Yes

Provider details

NPI number
Legal business name
HORTONS ORTHOTIC LAB, INC.
Authorized official
GARY HORTON LO, CO (OWNER)
(501) 663-2908
Entity
Organization

Contact information

Practice address
635 DAVE WARD, SUITE 103, CONWAY, AR 72034
(501) 663-2908
(501) 663-3994
Mailing address
5220 W 12TH ST, LITTLE ROCK, AR 72204-1857
(501) 663-2908
(501) 663-3994

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
OPP00087
AR

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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