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Organization

ORTHOTIC PROSTHETIC CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANN M COLE (OWNER)
(419) 531-2222
Entity
Organization

Contact information

Practice address
419 N REYNOLDS RD, TOLEDO, OH 43615
(419) 531-2222
(419) 531-2359
Mailing address
419 N REYNOLDS RD, TOLEDO, OH 43615
(419) 531-2222
(419) 531-2359

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
CO003462
OH
335E00000X
Prosthetic/Orthotic Supplier
CP002589
OH
335E00000X
Prosthetic/Orthotic Supplier
LO.56
OH
335E00000X
Prosthetic/Orthotic Supplier
Primary
LP.55
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000155767
ANTHEM BCBS
OH
05
0848300
OH
01
10209
PARAMOUNT
OH
Enumeration date
06/24/2005
Last updated
10/06/2022
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