Granite State Orthotics and Prosthetics, LLC

NPI #1750565479 in Concord, New Hampshire

Provider Information

NPI Number
1750565479
Entity Type
Organization
Organization Name
Granite State Orthotics and Prosthetics, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Dec 18, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
280 PLEASANT ST STE 3
ZIP Code
03301-2553
Phone
(603) 228-7159

Authorized Official

Name
MR. GERARD JOSEPH FOWLER II, CO, CPED.
Title
OWNER/PRACTITIONER
Phone
(603) 228-7159

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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