Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
3010 FARROW RD, SUITE 130, COLUMBIA, SC 29203-7603
(803) 771-6816
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3210
—
SC
Enumeration date
07/15/2008
Last updated
10/20/2022
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