Organization · Type 2 NPI
Prosthetic Orthotic Specialist Inc
Prosthetic/Orthotic Supplier · Peoria, IL
Practice location
701 NE Jefferson Ave
Peoria, IL 61603
Fax (309) 676-0486
Mailing address
741 W Main St
Peoria, IL 61606-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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 1851389449
Prosthetic Orthotic Specialist Inc's National Provider Identifier is 1851389449, issued on Oct 9, 2005. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 30, 2018.