Organization
PERFORMANCE ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY MORRIS OJA C.O. (PRESIDENT, CERTIFIED ORTHOTIST)
(785) 749-2072
Entity
Organization
Contact information
Practice address
1112 W 6TH ST STE 10, LAWRENCE, KS 66044-2249
(785) 749-2072
(785) 865-4095
Mailing address
1112 W 6TH ST STE 10, LAWRENCE, KS 66044-2249
(785) 749-2072
(785) 865-4095
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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