Organization
OTTO BOCK PATIENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
1294 PROFESSIONAL DR STE B, MYRTLE BEACH, SC 29577-5753
(843) 497-9558
Mailing address
11809 DOMAIN DR UNIT 400, AUSTIN, TX 78758-3452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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