Organization
TOM WATSON'S PROSTHETICS AND ORTHOTICS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMESH SAXENA CP BOCO (OWNER OF BIONIC)
(219) 791-9200
Entity
Organization
Contact information
Practice address
2819 W 4TH ST, OWENSBORO, KY 42301-0237
(270) 684-6128
(270) 684-6411
Mailing address
3803 E LINCOLN HWY, MERRILLVILLE, IN 46410-5809
(197) 919-2002
(312) 268-5389
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1024483
KY
Other
Enumeration date
06/06/2006
Last updated
06/18/2021
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