Organization
OTTO BOCK PATIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
1100 W 13 MILE RD, MADISON HEIGHTS, MI 48071-1624
(248) 658-0990
Mailing address
11809 DOMAIN DR UNIT 400, AUSTIN, TX 78758-3452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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