Organization
LIMBCARE PROSTHETICS & ORTHOTICS LLC.
Active
Organization
LIMBCARE PROSTHETICS & ORTHOTICS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND JUDE RESTIVO JR. CPO (PROSTHETIST/ORTHOTIST)
(985) 726-9052
Entity
Organization
Contact information
Practice address
1350 LINDBERG DR, SLIDELL, LA 70458-8054
(985) 726-9052
(985) 726-9053
Mailing address
1350 LINDBERG DR, SLIDELL, LA 70458-8054
(985) 726-9052
(985) 726-9053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
CPO02238
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590304
—
LA
Enumeration date
10/12/2006
Last updated
08/22/2020
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