Organization
CENTER FOR ORTHOTICS AND PROSTHETICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK R STEELE (PRESIDENT)
(901) 757-5461
Entity
Organization
Contact information
Practice address
2321 5TH ST N, COLUMBUS, MS 39705-2213
(662) 243-7435
Mailing address
6655 QUINCE RD, STE 124, MEMPHIS, TN 38119-8031
(901) 757-5461
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
—
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02324535
—
MS
Enumeration date
12/07/2015
Last updated
08/31/2019
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