Organization
PELICAN ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CAPRITTO (OWNER/CLINIC MANAGER)
(985) 502-1841
Entity
Organization
Contact information
Practice address
69156 HWY 190 SERV RD, COVINGTON, LA 70433-5140
(985) 276-4560
(985) 276-4563
Mailing address
69156 HWY 190 SERV RD, COVINGTON, LA 70433-5140
(985) 276-4560
(985) 276-4563
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
09/07/2021
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