Organization · Type 2 NPI

Pediatric Orthotic and Prosthetic Services-Southeast, LLC

Prosthetic/Orthotic Supplier · Shreveport, LA

NPI number 1912303330 Active

Practice location

3100 Samford Ave
Shreveport, LA 71103-4239

Fax (318) 226-4294

Mailing address

PO Box 947109
Atlanta, GA 30394-7109

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 1912303330

Pediatric Orthotic and Prosthetic Services-Southeast, LLC's National Provider Identifier is 1912303330, issued on Nov 12, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 23, 2025.