Organization
LEVEL FOUR ORTHOTICS AND PROSTHETICS
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR OF CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
107 E WALKER ST, EAST FLAT ROCK, NC 28726-2235
(828) 595-9371
(828) 595-9373
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-0993
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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