Organization
MOTION ORTHOTICS AND PROSTHETICS, LLC
Active
Organization
MOTION ORTHOTICS AND PROSTHETICS, LLC
Active
Other names
Motion Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN ALLEN BEALL CPO (CHIEF MEDICAL OFFICER)
(845) 543-8800
Entity
Organization
Contact information
Practice address
75 MONTEBELLO RD STE 207, MONTEBELLO, NY 10901-3746
(619) 867-6094
Mailing address
75 MONTEBELLO RD STE 207, MONTEBELLO, NY 10901-3746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447834692
NPI
PA
01
—
1710398706
NPI
NJ
Enumeration date
05/28/2021
Last updated
07/12/2021
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