Organization
DYNAMIC ORTHOTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM M MARGAGLIO CO (PRESIDENT)
(337) 291-1016
Entity
Organization
Contact information
Practice address
1100 8TH ST, MORGAN CITY, LA 70380-1916
(337) 291-1016
(337) 704-0324
Mailing address
103 E PINHOOK RD, LAFAYETTE, LA 70501-8531
(337) 291-1016
(337) 704-0324
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
0790402001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187143
—
LA
Enumeration date
08/08/2006
Last updated
07/29/2020
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