Organization
PROSTHETIC LABORATORIES OF ROCHESTER INC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
SHERYL PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
20 2ND AVE SW, STE 115, ROCHESTER, MN 55902-3027
(507) 289-1512
(507) 289-2083
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
(507) 289-1512
(507) 289-2083
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722637
—
IA
05
—
41792300
—
WI
05
—
974120800
—
MN
Enumeration date
11/01/2005
Last updated
06/10/2014
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