Organization
RESTORATIVE PROSTHETICS & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND J RESTIVO JR. C.P.O. (PRACTICE MANAGER)
(985) 726-9052
Entity
Organization
Contact information
Practice address
168 COMMERCIAL SQ, SLIDELL, LA 70461-5418
(989) 726-9052
Mailing address
168 COMMERCIAL SQ, SLIDELL, LA 70461-5418
(985) 726-9052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/21/2022
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