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Organization

PROFESSIONAL ORTHOTICS & PROSTHETICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT WEAVER CPO (CEO)
(919) 878-9168
Entity
Organization

Contact information

Practice address
5300 ATLANTIC AVE, SUITE 101, RALEIGH, NC 27609-1122
(919) 878-9168
(919) 878-9319
Mailing address
5300 ATLANTIC AVE, SUITE 101, RALEIGH, NC 27609-1122
(919) 878-9168
(919) 878-9319

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7700119
NC
Enumeration date
08/23/2006
Last updated
08/22/2020
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