Organization
ORTHOTIC & PROSTHETIC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEPHEN RELLE CPO (PRESIDENT)
(985) 898-6319
Entity
Organization
Contact information
Practice address
101 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 898-6319
(985) 867-8803
Mailing address
101 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 898-6319
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440535
—
MS
05
—
1980391
—
LA
Enumeration date
11/05/2007
Last updated
04/09/2020
Update your record
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