Prosthetic and Orthotic Care LLC
NPI #1629148739 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1629148739
- Entity Type
- Organization
- Organization Name
- Prosthetic and Orthotic Care LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Nov 11, 2021
Practice Location
- Address
- 13 EXECUTIVE DR
- Address 2
- SUITE 13
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1342
- Phone
- (618) 212-0006
Authorized Official
- Name
- MR. JAMES JOSEPH WEBER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (314) 775-2041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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