Organization
OTTO BOCK PATIENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
11871 PLAZA DR UNIT 6, MURRELLS INLET, SC 29576-7450
(843) 651-5347
Mailing address
11809 DOMAIN DR UNIT 400, AUSTIN, TX 78758-3452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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