Organization
ORTHOTIC PROSTHETIC CARE, LLC
Active
Organization
ORTHOTIC PROSTHETIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P RODGERS C.O. (MEMBER - PRESIDENT)
(970) 203-1234
Entity
Organization
Contact information
Practice address
750 E 57TH ST, LOVELAND, CO 80538-1246
(970) 203-1234
(970) 797-4828
Mailing address
PO BOX 245, LOVELAND, CO 80539-0245
(970) 203-1234
(970) 797-4828
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08002701
—
CO
Enumeration date
04/02/2007
Last updated
04/11/2016
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