Organization
LANDRA PROSTHETICS AND ORTHOTICS INC
Active
Other names
Landra Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JAMES LANDRA C.P.O. (PRESIDENT)
(734) 281-8144
Entity
Organization
Contact information
Practice address
14725 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(734) 281-8144
Mailing address
PO BOX 34, TRENTON, MI 48183-0034
(734) 281-8144
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
10/08/2009
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