Organization
TOM WATSON'S PROSTHETICS AND ORTHOTICS LAB, INC.
Active
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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