Organization
OTTO BOCK PATIENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
250 FAME AVE STE 102, HANOVER, PA 17331-1587
(717) 337-2273
Mailing address
11809 DOMAIN DR UNIT 100, AUSTIN, TX 78758-3452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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