Organization
ORTHOTIC AND PROSTHETIC LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J OSTERMAN (OWNER)
(314) 968-8555
Entity
Organization
Contact information
Practice address
845 NORTH NEW BALLAS COURT, SUITE 320, CREVE COEUR, MO 63141-7169
(314) 567-6110
Mailing address
748 MARSHALL AVE, SAINT LOUIS, MO 63119-1924
(314) 968-8555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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