Organization
CORNELL ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA J WHEELER PTA (PRACTICE MANAGER)
(978) 922-2866
Entity
Organization
Contact information
Practice address
104 ENDICOTT ST, LL3, DANVERS, MA 01923-3623
(978) 922-2866
(978) 922-0277
Mailing address
100 CUMMINGS CTR, SUITE 207H, BEVERLY, MA 01915-6115
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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