Organization
ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN JASON RILEY (OWNER)
(970) 484-8388
Entity
Organization
Contact information
Practice address
1446 HOVER ST, LONGMONT, CO 80501-2485
(720) 652-0100
(720) 652-0202
Mailing address
1446 HOVER ROAD, LONGMONT, CO 80501
(720) 652-0100
(720) 652-0202
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0571356
—
IA
05
—
100250483-00
—
NE
05
—
119226401
—
WY
05
—
13631730
—
CO
05
—
200004560A
—
KS
05
—
200023800A
—
OK
05
—
79605061
—
NM
Enumeration date
08/22/2006
Last updated
06/25/2024
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