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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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