Organization
ARCH RIVALS ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ROBITAILLE (OWNER)
(912) 355-4557
Entity
Organization
Contact information
Practice address
601 E GENERAL STEWART WAY, HINESVILLE, GA 31313-2627
(912) 355-4557
Mailing address
875 WARNELL DR, RICHMOND HILL, GA 31324-4823
(912) 355-4557
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4621650
GA
Other
Enumeration date
07/15/2014
Last updated
07/28/2014
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