Organization
NEW STEP ORTHOTIC LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA C ALLISON C-PED (PRES/SEC)
(618) 288-9297
Entity
Organization
Contact information
Practice address
4225 S STATE ROUTE 159, STE 1, GLEN CARBON, IL 62034-3231
(618) 288-9297
Mailing address
4225 S STATE ROUTE 159, STE 1, GLEN CARBON, IL 62034-3231
(618) 288-9297
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
212.000142
IL
Other
Enumeration date
03/05/2009
Last updated
04/09/2009
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