Organization
DR MEDICAL LLC
Active
Other names
DR Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL REUTER BOC ORTHOTIST (PRESIDENT/OWNER)
(502) 222-1972
Entity
Organization
Contact information
Practice address
322 MAIN ST STE 1W, WILLIMANTIC, CT 06226-3152
(508) 222-1972
(508) 222-6900
Mailing address
322 MAIN ST STE 1W, WILLIMANTIC, CT 06226-3152
(508) 222-1972
(508) 222-6900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
C16275
MA
335E00000X
Prosthetic/Orthotic Supplier
Primary
C16275
MA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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