Organization
INNOVATIVE PROSTHETICS & ORTHOTICS OF GRAND ISLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH SRIVASTAVA (OWNER)
(402) 461-4931
Entity
Organization
Contact information
Practice address
1213 ALLEN DR, GRAND ISLAND, NE 68803-3333
(308) 675-1508
(308) 675-1509
Mailing address
1213 ALLEN DR, GRAND ISLAND, NE 68803-3333
(308) 675-1508
(308) 675-1509
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/16/2014
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