Organization
ORTHOTIC & PROSTHETIC SPECIALISTS, INC.
Active
Parent organization
ORTHOTIC & PROSTHETIC SPECIALISTS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOTIC & PROSTHETIC SPECIALISTS, INC
Authorized official
MICHAEL STEPHEN RELLE CPO (PRESIDENT)
(985) 898-6319
Entity
Organization
Contact information
Practice address
10241 COURSEY BLVD STE C, BATON ROUGE, LA 70816-0409
(225) 333-1893
(985) 867-8803
Mailing address
101 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 898-6319
(985) 867-8803
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980391
—
LA
Enumeration date
10/31/2019
Last updated
04/09/2020
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