The Plaid Daisy INC

NPI #1346243946 in Peoria, Illinois

Provider Information

NPI Number
1346243946
Entity Type
Organization
Organization Name
The Plaid Daisy INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
May 27, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1835 N KNOXVILLE AVE
City
Peoria
ZIP Code
61603-3027
Phone
(309) 686-0602

Authorized Official

Name
CHRIS MONROE
Title
PRESIDENT
Phone
(309) 686-0602

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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