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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