Organization
NEXTREMITY PROSTHETIC DESIGN, LLC
Active
Other names
Goal Pediatric Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HERMOSILLO (OWNER)
(801) 830-6161
Entity
Organization
Contact information
Practice address
4115 E VALLEY AUTO DR STE 202, MESA, AZ 85206-4612
(800) 311-5899
(866) 710-3106
Mailing address
471 E 1000 S STE F, PLEASANT GROVE, UT 84062-3694
(855) 407-1227
(855) 228-4222
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
06/11/2024
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