Organization
PREVAIL PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI HUDSON (BUSINESS MANAGER)
(260) 483-5219
Entity
Organization
Contact information
Practice address
3320 MAIN ST, SUITE F, ANDERSON, IN 46013-4265
(765) 374-0496
(765) 288-3884
Mailing address
7735 W JEFFERSON BLVD, SUITE C, FORT WAYNE, IN 46804-4135
(260) 483-5219
(260) 484-2291
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
01/04/2019
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