Performance Prosthetics & Orthotics, Pl

NPI #1518594704 in Crestview, Florida

Provider Information

NPI Number
1518594704
Entity Type
Organization
Organization Name
Performance Prosthetics & Orthotics, Pl
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 26, 2020
Last Updated
Sep 24, 2020

Practice Location

Address
753 ASHLEY DR
State
Florida
ZIP Code
32536-9231
Phone
(850) 331-3664

Authorized Official

Name
SCOTT DAVID COOPER
Title
OFFICE MANAGER
Phone
(850) 607-6126

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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