Organization
SNELL PROSTHETIC & ORTHOTIC LABORATORY
Active
Organization
SNELL PROSTHETIC & ORTHOTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK FLEETWOOD (GENERAL MANAGER)
(501) 664-2624
Entity
Organization
Contact information
Practice address
900 PROFESSIONAL ACRES DR, JONESBORO, AR 72401-4321
(870) 268-0001
(870) 875-9081
Mailing address
625 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-2917
(501) 664-2624
(501) 664-1708
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
04734178001
AR
Other
Enumeration date
12/10/2005
Last updated
08/22/2020
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