Organization
DYNAMIC ORTHOTIC SERVICES, INC
Active
Other names
Dynamic Rehabilitative Orthotic & Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN MARGAGLIO (PRESIDENT)
(337) 291-1016
Entity
Organization
Contact information
Practice address
103 E PINHOOK RD, LAFAYETTE, LA 70501-8531
(337) 291-1016
(337) 984-7403
Mailing address
103 E PINHOOK RD, LAFAYETTE, LA 70501-8531
(337) 291-1016
(337) 984-7403
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187143
—
LA
Enumeration date
05/12/2020
Last updated
08/20/2020
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