Organization
INNOVATIVE PROSTHETIC SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W VANDERSEA CPO (PRESIDENT)
(207) 482-9874
Entity
Organization
Contact information
Practice address
120 PERCY HAWKES RD, WINDHAM, ME 04062-4397
(207) 482-9874
Mailing address
110 MARGINAL WAY, #192, PORTLAND, ME 04101-2442
(207) 482-9874
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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