Organization
ODYSSEY PROSTHETICS & ORTHOTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A OPENSHAW CPO (CEO/OWNER)
(909) 890-0577
Entity
Organization
Contact information
Practice address
738 S WATERMAN AVE STE A4, SAN BERNARDINO, CA 92408-2355
(909) 890-0577
(909) 890-5504
Mailing address
738 S WATERMAN AVE STE A4, SAN BERNARDINO, CA 92408-2355
(909) 890-0577
(909) 890-5504
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO1431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0021550
—
CA
Enumeration date
07/01/2006
Last updated
07/08/2024
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