Organization · Type 2 NPI
Hagopian Shoes, LLC
Prosthetic/Orthotic Supplier · Wood River, IL
Practice location
48 E Ferguson Ave
Wood River, IL 62095
Fax (618) 254-1233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 212000071 (IL) |
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.
About NPI 1760418099
Hagopian Shoes, LLC's National Provider Identifier is 1760418099, issued on Jun 26, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Wood River, IL. The record was last updated on Jun 22, 2018.