Organization
BATON ROUGE ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W ROBERTSON (PRESIDENT/ OWNER)
(225) 767-6264
Entity
Organization
Contact information
Practice address
5745 ESSEN LN, SUITE 102, BATON ROUGE, LA 70810-1115
(225) 767-6264
(225) 767-0311
Mailing address
5745 ESSEN LN, SUITE 105, BATON ROUGE, LA 70810-1115
(225) 767-6264
(225) 767-0311
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
400246
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361143
—
LA
Enumeration date
09/28/2006
Last updated
08/22/2020
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