Individual
JACK R STEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Contact information
Practice address
6655 QUINCE RD, SUITE 124, MEMPHIS, TN 38119-8037
(901) 757-5461
Mailing address
6655 QUINCE RD, SUITE 124, MEMPHIS, TN 38119-8037
(901) 757-5461
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
110005528
TN
Other
Enumeration date
12/02/2010
Last updated
01/02/2011
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