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Organization

LIFE IN MOTION ORTHOTIC & PROSTHETIC CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL A ROLLE ABC /BOC/BS (PRESIDENT)
(316) 640-7267
Entity
Organization

Contact information

Practice address
2601 CENTRAL AVE STE 22, DODGE CITY, KS 67801-2606
(620) 225-0113
(620) 225-0102
Mailing address
2601 CENTRAL AVE STE 22, DODGE CITY, KS 67801-2606
(620) 225-0113
(620) 225-0102

Taxonomy

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

Other

Enumeration date
09/15/2015
Last updated
11/22/2019
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