Pediatric Orthotic and Prosthetic Services - Northwest, LLC
NPI #1275935207 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1275935207
- Entity Type
- Organization
- Organization Name
- Pediatric Orthotic and Prosthetic Services - Northwest, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Apr 23, 2025
Practice Location
- Address
- 4400 CLAYTON AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63110-1624
- Phone
- (314) 872-7891
Authorized Official
- Name
- DARREN ROTTMANN, BOCP, CPOA
- Title
- MANAGER
- Phone
- (314) 872-7891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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| Premier Prosthetics and Orthotics | AI Deep Dive |
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