Organization · Type 2 NPI

Innovative Prosthetic Care Inc

Prosthetic/Orthotic Supplier · Gulfport, MS

NPI number 1639359078 Active

Practice location

9034 B Carl Leggett Rd
Gulfport, MS 39503

Fax (601) 510-1610

Mailing address

PO Box 650846
Dallas, TX 75265-0846

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1639359078

Innovative Prosthetic Care Inc's National Provider Identifier is 1639359078, issued on Nov 13, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 25, 2014.