Organization
ABILITY PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LISA HEWETT (LLC MEMBER)
(860) 571-8979
Entity
Organization
Contact information
Practice address
52 NATIONAL DR, STE 2, GLASTONBURY, CT 06033-1212
(860) 571-8979
(860) 571-8902
Mailing address
52 NATIONAL DR, STE 2, GLASTONBURY, CT 06033-1212
(860) 571-8979
(860) 571-8902
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212346
—
CT
01
—
00421234600
BLUE CARE FAMILY PLAN
CT
01
—
12DME0786CT01
ANTHEM BC/BS
CT
01
—
2823492
AETNA HMO
CT
01
—
745411
CONNECTICARE
CT
01
—
7597384
AETNA NON-HMO
CT
01
—
81479
NORTHWOOD / NPN
CT
01
—
90036888
PMSI
CT
Enumeration date
06/20/2005
Last updated
07/15/2016
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