Organization
MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC
Active
Parent organization
MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC
Other names
Aspen Orthotics & Prosthetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC
Authorized official
KAREN J WILLIAMS R.N., CFM (TREASURER)
(406) 549-0921
Entity
Organization
Contact information
Practice address
400 W MAIN ST, SUITE #203, HAMILTON, MT 59840-2439
(406) 549-0921
(406) 549-6864
Mailing address
120 SOUTH AVE W, MISSOULA, MT 59801-8116
(406) 549-0921
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MT
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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