Organization
ELLIOTT PEDORTHIC CARE LLC
Active
Other names
Elliott Footwear & Orthotic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADY ELLIOTT CPED (MANAGER)
(541) 726-0751
Entity
Organization
Contact information
Practice address
85084 KENSINGTON DR, PLEASANT HILL, OR 97455-9621
(541) 726-0751
Mailing address
85084 KENSINGTON DR, PLEASANT HILL, OR 97455-9621
(541) 726-0751
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OR
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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