Organization
PREVAIL PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI S HUDSON (BUSINESS MANAGER)
(260) 483-5219
Entity
Organization
Contact information
Practice address
10826 COLDWATER RD., FORT WAYNE, IN 46845-1241
(260) 483-5219
(260) 484-2291
Mailing address
7735 W. JEFFERSON BLVD. STE. C, FORT WAYNE, IN 46804-4135
(260) 483-5219
(260) 203-2155
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
12/09/2019
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