Premier Orthotics Inc.

NPI #1598012262 in Prospect, Kentucky

Provider Information

NPI Number
1598012262
Entity Type
Organization
Organization Name
Premier Orthotics Inc.
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 13, 2012
Last Updated
Aug 13, 2012

Practice Location

Address
13329 PROSPECT GLEN WAY
ZIP Code
40059-8184
Phone
(502) 418-0204

Authorized Official

Name
MR. AUSTIN POLSTON
Title
PRESIDENT
Phone
(502) 418-0204

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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