Organization
ADAPT PROSTHETICS AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FISCHER CPO (CO-OWNER)
(208) 765-0597
Entity
Organization
Contact information
Practice address
2204 IRONWOOD PL, SUITE A, COEUR D ALENE, ID 83814-2662
(208) 765-0597
(208) 765-0598
Mailing address
2204 IRONWOOD PL, STE A, COEUR D ALENE, ID 83814-2662
(208) 765-0597
(208) 765-0598
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659692739
—
ID
01
—
6419450001
PTAN
—
Enumeration date
06/12/2010
Last updated
10/04/2010
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