Organization
DAVID ROTTER PROSTHETICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B ROTTER CPO (CEO)
(815) 714-2932
Entity
Organization
Contact information
Practice address
121 SPRINGFIELD AVE STE 4, JOLIET, IL 60435-6545
(815) 714-2932
Mailing address
121 SPRINGFIELD AVE STE 4, JOLIET, IL 60435-6545
(815) 714-2932
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/11/2019
Last updated
12/02/2019
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