Individual provider · Type 1 NPI

Samuel Santa Rita, CP

Prosthetic/Orthotic Supplier · Indianapolis, IN

NPI number 1760914618 Active

Practice location

1900 N Meridian St
Indianapolis, IN 46202-1304

Call (317) 296-7330 Map

Fax (317) 296-7329

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 1760914618

Samuel Santa Rita, CP's National Provider Identifier is 1760914618, issued on Mar 30, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 30, 2017.