Optima Prosthetics & Orthotics, LLC

NPI #1730747189 in Reno, Nevada

Provider Information

NPI Number: 1730747189
Entity Type: Organization
Organization Name: Optima Prosthetics & Orthotics, LLC
Primary Specialty: Prosthetist
Enumeration Date: May 31, 2019
Last Updated: Jan 14, 2021

Practice Location

Address: 780 SMITHRIDGE DR
City: Reno
State: Nevada
ZIP Code: 89502-5798
Phone: (775) 750-7429

Authorized Official

Name: STEPHEN KIRK WILSON, CERTIFIED ORTHOTIST
Title: CEO
Phone: (775) 750-7429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Prosthetist	224P00000X	Primary

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