Organization
HITTENBERGER ORTHOTICS AND PROSTHETICS, LLC
Active
Other names
Drew Hittenberger and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW ARNOLD HITTENBERGER C.P. (OWNER)
(707) 765-1122
Entity
Organization
Contact information
Practice address
181 LYNCH CREEK WAY, SUITE 101, PETALUMA, CA 94954-2372
(707) 765-1122
Mailing address
181 LYNCH CREEK WAY, SUITE 101, PETALUMA, CA 94954-2372
(707) 765-1122
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO 1093
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4129830001
PTAN PETALUMA
CA
01
—
412983006
PTAN SANTA ROSA
CA
01
—
412983007
PTAN KENTFIELD
CA
05
—
GXC000120
—
CA
Enumeration date
01/17/2007
Last updated
05/20/2016
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