Organization
REBOUND ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DOSTAL (ADMINISTRATOR)
(952) 442-3233
Entity
Organization
Contact information
Practice address
584 S CHERRY DR, WACONIA, MN 55387-4578
(952) 442-3233
(952) 442-4959
Mailing address
584 S CHERRY DR, WACONIA, MN 55387-4578
(952) 442-3233
(952) 442-4959
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712670100
—
MN
01
—
73G91RE
BCBS PROVIDER ID
MN
Enumeration date
07/15/2006
Last updated
08/08/2023
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