Bayou Orthotic and Prosthetic Center LLC

NPI #1588677454 in Harvey, Louisiana

Provider Information

NPI Number
1588677454
Entity Type
Organization
Organization Name
Bayou Orthotic and Prosthetic Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 14, 2006
Last Updated
Mar 17, 2011

Practice Location

Address
3717 VONNIE DR
City
Harvey
ZIP Code
70058-2354
Phone
(504) 341-1331

Authorized Official

Name
MR. KENNETH R. BORDELON, C.P.O.
Title
PARTNER/CEO
Phone
(504) 341-1331

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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