Organization
DREW HITTENBERGER
Active
Other names
Hittenberger Orthotics and Prosthetics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DREW ARNOLD HITTENBERGER CP BOC (OWNER)
(707) 765-1122
Entity
Organization
Contact information
Practice address
181 LYNCH CREEK, SUITE 101, PETALUMA, CA 94954
(707) 765-1122
(707) 765-4571
Mailing address
1111 SONOMA AVE, SUITE 320, SANTA ROSA, CA 95405-4819
(707) 765-1122
(707) 765-4571
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP 1093
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4129830001
PTAN PETALUMA
CA
01
—
4129830006
PTAN SANTA ROSA
CA
01
—
4129830007
PTAN KENTFIELD
CA
Enumeration date
03/13/2009
Last updated
08/11/2016
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