Organization
PROSTHETIC ORTHOTIC SPECIALISTS, INC.
Active
Organization
PROSTHETIC ORTHOTIC SPECIALISTS, INC.
Active
Parent organization
ELITE PROSTHETICS
Other names
Center for Prosthetic & Orthotic Design
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE PROSTHETICS
Authorized official
MS. KRISTEN M NELSON (COO)
(505) 244-0404
Entity
Organization
Contact information
Practice address
5095 ELLISON ST NE, ALBUQUERQUE, NM 87109-4326
(505) 244-0404
(505) 244-0708
Mailing address
PO BOX 91630, ALBUQUERQUE, NM 87199-1630
(505) 244-0404
(505) 244-0708
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000T6178
—
NM
Enumeration date
12/04/2015
Last updated
08/17/2016
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