Organization
ALLAM DALATI
Active
Other names
OrthoCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAM DALATI CP (OWNER)
(479) 685-0941
Entity
Organization
Contact information
Practice address
112 N 34TH ST, ROGERS, AR 72756
(479) 685-0941
Mailing address
PO BOX 1972, ROGERS, AR 72757-1972
(479) 685-0941
(479) 621-9960
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/28/2006
Last updated
03/12/2008
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