Organization
CENTER FOR PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE ANN PERETTI CO BADO (PRESIDENT)
(801) 364-0083
Entity
Organization
Contact information
Practice address
148 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 364-0083
(801) 364-6480
Mailing address
148 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 364-0083
(801) 364-6480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310725990007
—
UT
Enumeration date
01/22/2008
Last updated
01/22/2008
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