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Organization

PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.

Active
Parent organization
PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROSTHETIC & ORTHOTIC SOLUTIONS, LLC.
Authorized official
AUDREY EDITH MOORE (OFFICE MANAGER)
(413) 785-4047
Entity
Organization

Contact information

Practice address
45 WINTONBURY AVE STE 311, BLOOMFIELD, CT 06002-2470
(860) 904-2419
(413) 785-4048
Mailing address
66 MYRON ST, WEST SPRINGFIELD, MA 01089-1416
(413) 785-4047
(413) 785-4047

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CT
335E00000X
Prosthetic/Orthotic Supplier
MA

Other

Enumeration date
07/05/2018
Last updated
07/05/2018
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