Organization
ADVANCED PROSTHETICS AND ORTHOTICS
Active
Parent organization
MID MISSOURI ORTHOTICS AND PROSTHETICS
Other names
Advanced O&P
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID MISSOURI ORTHOTICS AND PROSTHETICS
Authorized official
MRS. BRIDGET RENEE DALY (AR MANAGER)
(573) 441-0744
Entity
Organization
Contact information
Practice address
802 MIDPOINT DR, O FALLON, MO 63366-5945
(573) 441-0744
(573) 441-0745
Mailing address
1101 LAKEVIEW AVE, COLUMBIA, MO 65201-4659
(573) 441-0744
(573) 441-0745
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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