Organization
OTTO BOCK PATIENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
14 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2919
(870) 425-3252
Mailing address
11809 DOMAIN DR UNIT 400, AUSTIN, TX 78758-3452
(800) 328-4058
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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