Organization
COMPLETE CARE PROSTHETICS AND ORTHOTICS LLC
Active
Organization
COMPLETE CARE PROSTHETICS AND ORTHOTICS LLC
Active
Other names
COMPLETE CARE PROSTHETICS AND ORTHOTICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN OLUWAGBENGA SOBOWALE CPO (PROSTHETIST/ORTHOTIST)
(215) 298-0604
Entity
Organization
Contact information
Practice address
600 WASHINGTON AVE STE 18UC, PHILADELPHIA, PA 19147-4836
(215) 298-0604
(215) 298-0608
Mailing address
600 WASHINGTON AVE STE 18UC, PHILADELPHIA, PA 19147-4836
(215) 298-0604
(215) 298-0608
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2022
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