Organization
PROSTHETIC ORTHOTIC CARE CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WILLIAM MORTON CPO (PRESIDENT)
(704) 841-4388
Entity
Organization
Contact information
Practice address
645 COX RD STE A, GASTONIA, NC 28054-0649
(704) 852-9823
(704) 853-1055
Mailing address
1352 MATTHEWS TOWNSHIP PKWY STE 101, MATTHEWS, NC 28105-4985
(704) 841-4388
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701190
—
NC
Enumeration date
10/23/2006
Last updated
03/16/2011
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