Organization
ENABLE ORTHOTICS & PROSTHETICS, LLC.
Active
Organization
ENABLE ORTHOTICS & PROSTHETICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH E. WILLIS GENERAL MANAGER (GENERAL MANAGER)
(315) 701-5712
Entity
Organization
Contact information
Practice address
521 E. WASHINGTON STREET, SYRACUSE, NY 13202-1917
(315) 701-5712
(315) 701-5713
Mailing address
521 E. WASHINGTON STREET, SYRACUSE, NY 13202-1917
(315) 701-5712
(315) 701-5713
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/10/2005
Last updated
06/11/2012
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