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Organization

PROSTHETIC TECHNOLOGIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUN O'BRIEN CP (CEO)
(317) 804-4729
Entity
Organization

Contact information

Practice address
333 N ALABAMA ST, SUITE 350, INDIANAPOLIS, IN 46204-2034
(317) 804-4729
Mailing address
335 W 9TH ST, UNIT 150, INDIANAPOLIS, IN 46202-3121

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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