Organization
NUTMEG ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L MANOUSE (MEMBER)
(860) 355-2443
Entity
Organization
Contact information
Practice address
85 BARNES RD, SUITE 302, WALLINGFORD, CT 06492-1832
(203) 678-4627
(203) 678-4628
Mailing address
73 ASPETUCK AVE, NEW MILFORD, CT 06776-2825
(860) 355-2443
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO2372
CT
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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