Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
3250 HARDEN STREET EXT STE 200, COLUMBIA, SC 29203
(803) 939-0097
(803) 939-1103
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3498
—
SC
Enumeration date
12/21/2012
Last updated
07/23/2019
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