Organization
CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIT BHANTI CPO (CEO)
(309) 676-2276
Entity
Organization
Contact information
Practice address
2213 MAIN ST UNIT 1C-102, HIGHLAND, IN 46322-3514
(219) 365-0248
(219) 365-0072
Mailing address
741 W MAIN ST, PEORIA, IL 61606-1953
(309) 676-2276
(309) 285-6911
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IN
Other
Enumeration date
08/02/2010
Last updated
09/24/2024
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