Organization
PROFESIONAL PROSTHETICS ORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXIS CHARBONIER (PRESIDENT)
(787) 344-1086
Entity
Organization
Contact information
Practice address
MAGNOLIA N32, BAYAMON, PR 00956-0000
(787) 344-1085
Mailing address
PO BOX 8271, BAYAMON, PR 00960-8271
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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