Organization
LEVEL FOUR ORTHOTICS AND PROSTHETICS
Active
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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