Individual provider · Type 1 NPI

Michael Perez, CP

Prosthetic/Orthotic Supplier · Fort Wayne, IN

NPI number 1669904595 Active

Practice location

4109 W Jefferson Blvd
Fort Wayne, IN 46804-6894

Call (260) 432-8886 Map

Fax (260) 432-1137

Mailing address

408 E Washington St
Butler, IN 46721-1179

Specialties and licenses

TaxonomyCodeLicense
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 1669904595

Michael Perez, CP's National Provider Identifier is 1669904595, issued on Mar 30, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 30, 2017.