Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
5613 DURALEIGH RD, RALEIGH, NC 27612-2694
(919) 851-7385
(919) 851-7387
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790017929
—
NC
Enumeration date
02/15/2010
Last updated
07/23/2019
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