Organization
GAINESVILLE ORTHOTIC THERAPY
Active
Other names
Gainesville Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA M. CLOUGH-CHAPMAN MSPO, CPO, LPO, FAAO (PRACTITIONER/CLINICAL MANAGER)
(352) 331-4221
Entity
Organization
Contact information
Practice address
3870 NW 83RD STREET, GAINESVILLE, FL 32606
(352) 331-4221
(352) 332-8074
Mailing address
3870 NW 83RD STREET, GAINESVILLE, FL 32606
(352) 331-4221
(352) 332-8074
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026135100
—
FL
Enumeration date
03/13/2007
Last updated
02/23/2016
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