Organization
CREATIVE ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
HANGER ORTHOPEDIC GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER ORTHOPEDIC GROUP
Authorized official
SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
310 TAUGHANNOCK BLVD, SUITE 1A, ITHACA, NY 14850-3231
(607) 277-6620
(607) 277-2533
Mailing address
310 TAUGHANNOCK BLVD, SUITE 1A, ITHACA, NY 14850-3231
(607) 277-6620
(607) 277-2533
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
—
02179239
—
NY
Enumeration date
10/16/2006
Last updated
10/14/2009
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