Custom Prosthetic & Orthotic
NPI #1710147301 in Clinton, Mississippi
Provider Information
- NPI Number
- 1710147301
- Entity Type
- Organization
- Organization Name
- Custom Prosthetic & Orthotic
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Mar 15, 2012
Practice Location
- Address
- 801 E NORTHSIDE DR
- Address 2
- SUITE - D
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3663
- Phone
- (601) 906-1024
Authorized Official
- Name
- MRS. JOHNNIE MAE OWENS, CHILD CARE
- Title
- OWNER PRESIDENT
- Phone
- (601) 906-1024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
Similar Providers
| Provider Name | |
|---|---|
| Nelson Wilson, IV |  AI Deep Dive |
| One Source Inc. | AI Deep Dive |
| Alabama Orthotics & Prosthetics, Inc. | AI Deep Dive |
| Alabama Orthotics & Prosthetics, Inc. | AI Deep Dive |
| Procare Prosthetics & Orthotics, Inc. | AI Deep Dive |
Want to research this healthcare provider further?