Organization
PROSTHETIC AND ORTHOTIC CARE LLC
Active
Parent organization
PROSTHETIC AND ORTHOTIC CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSTHETIC AND ORTHOTIC CARE LLC
Authorized official
JAMES WEBER (PRESIDENT/CEO)
(314) 775-2041
Entity
Organization
Contact information
Practice address
1479 HIGHWAY 61, SUITE D, FESTUS, MO 63028-4109
(636) 232-2982
Mailing address
1084 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(314) 775-2041
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625748603
—
MO
05
—
626167407
—
MO
Enumeration date
12/24/2008
Last updated
11/11/2021
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