Organization
CROWN CRANIAL & ORTHOTICS, LLC
Active
Parent organization
CROWN CRANIAL & ORTHOTICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROWN CRANIAL & ORTHOTICS, LLC
Authorized official
TIMOTHY ROTH (MEMBER)
(219) 801-3937
Entity
Organization
Contact information
Practice address
9601 N. CENTENNIAL DR., #322, MUNSTER, IN 46321
(219) 801-3937
(219) 301-8734
Mailing address
1148 JEANNE CT, CROWN POINT, IN 46307-0027
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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