Organization
W R ROSEN INC
Active
Other names
Restore OPC
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MITCHELL (DIRECTOR, REIMBURSEMENT)
(336) 397-2616
Entity
Organization
Contact information
Practice address
100 SE 15TH AVE, FORT LAUDERDALE, FL 33301-3985
(954) 447-7779
(954) 447-7782
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
03/29/2017
Last updated
02/06/2019
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