Organization
JEFFERSON ORTHOPEDICS INC
Active
Other names
Prosthetic & Orthotic Associates of Louisianna
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY GRUNBERG CP-CERTIFIED ORTHOTI (OWNER)
(504) 888-0213
Entity
Organization
Contact information
Practice address
1612 CLEARVIEW PKWY, METAIRIE, LA 70001
(504) 888-0213
(504) 888-0293
Mailing address
1612 CLEARVIEW PKWY, METAIRIE, LA 70001
(504) 888-0213
(504) 888-0293
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
435810
LA
335E00000X
Prosthetic/Orthotic Supplier
435810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118231
—
LA
Enumeration date
04/07/2006
Last updated
10/14/2015
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