Organization
SUNRISE ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL SMILEY COA (OWNER)
(603) 854-8094
Entity
Organization
Contact information
Practice address
45 LONDONDERRY TPKE STE 5, HOOKSETT, NH 03106-2046
(603) 402-6586
Mailing address
35 WOODFIELD ST, NASHUA, NH 03062-2066
(603) 891-1648
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
01/25/2019
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