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Organization

WALL PROSTHETICS & ORTHOTICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ARTHUR WALL PT, CPO, FAAOP (PRESIDENT/ PROSTHETIST/ ORTHOTIST)
(978) 745-3500
Entity
Organization

Contact information

Practice address
2 CENTENNIAL DR, UNIT 6A, PEABODY, MA 01960-7911
(978) 538-9800
(978) 538-9811
Mailing address
2 CENTENNIAL DR, UNIT 6A, PEABODY, MA 01960-7911
(978) 538-9800
(978) 538-9811

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020903
NHP ORTHOTICS/ PROSTHETIC
MA
05
1500007
MA
01
392254
BC/BS ORTHOTICS/ PROSTHET
MA
01
685834
TUFTS ORTHOTICS/ PROSTHET
MA
01
704517
HPHC ORTHOTICS/ PROSTHET
MA
01
986834
NETWORK HEALTH O & P
MA
Enumeration date
08/25/2006
Last updated
11/10/2008
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