Organization
MOBILE LIMB & BRACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RICHARD DECAMP C.O. (OWNER)
(765) 463-4100
Entity
Organization
Contact information
Practice address
2041 KLONDIKE RD, WEST LAFAYETTE, IN 47906-5122
(765) 463-4100
(765) 463-4112
Mailing address
2041 KLONDIKE RD, WEST LAFAYETTE, IN 47906-5122
(765) 463-4100
(765) 463-4112
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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