Organization
ORTHOTICS PROSTHETICS ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WUNDER CPO (PRESIDENT)
(828) 254-0258
Entity
Organization
Contact information
Practice address
86 VICTORIA RD, ASHEVILLE, NC 28801
(828) 254-0258
(828) 253-8603
Mailing address
86 VICTORIA RD, ASHEVILLE, NC 28801
(828) 254-0258
(828) 253-8603
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
0700005812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795045
—
NC
Enumeration date
10/05/2006
Last updated
08/22/2020
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