Srt Prosthetics & Orthotics LLC
NPI #1508804295 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1508804295
- Entity Type
- Organization
- Organization Name
- Srt Prosthetics & Orthotics LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 3, 2006
- Last Updated
- May 22, 2025
Practice Location
- Address
- 3818 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6840
- Phone
- (260) 432-8886
Authorized Official
- Name
- LORI MARLER
- Title
- CREDENTIALING MGR.
- Phone
- (615) 864-8790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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