David B Rotter, CPO

NPI #1194225227 in Joliet, Illinois

Provider Information

NPI Number: 1194225227
Entity Type: Individual
Name: David B Rotter, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Feb 15, 2018
Last Updated: Apr 11, 2019

Practice Location

Address: 121 SPRINGFIELD AVE STE 4
City: Joliet
State: Illinois
ZIP Code: 60435-6545
Phone: (815) 255-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary
Pedorthist	224L00000X

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