Organization
GATES PROSTHETICS & MOBILITY CLINIC CO
Active
Parent organization
GATES PROSTHETICS & MOBILITY CLINIC CO
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATES PROSTHETICS & MOBILITY CLINIC CO
Authorized official
TERRAN ELIZABETH GATES CPO (PRESIDENT, OWNER)
(870) 307-2174
Entity
Organization
Contact information
Practice address
108 DYER ST, MOUNTAIN HOME, AR 72653
(479) 418-2297
Mailing address
108 DYER ST, MOUNTAIN HOME, AR 72653
(479) 418-2297
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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