Organization
BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE MARA CPO (MANAGING MEMBER)
(504) 833-7339
Entity
Organization
Contact information
Practice address
611 RIVER HIGHLANDS BLVD STE A, COVINGTON, LA 70433-8908
(985) 302-3818
(504) 833-7559
Mailing address
611 RIVER HIGHLANDS BLVD STE A, COVINGTON, LA 70433-8908
(985) 302-3818
(504) 833-7559
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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