Creative Orthotic & Prosthetic Services
NPI #1770763179 in Crestview, Florida
Provider Information
- NPI Number
- 1770763179
- Entity Type
- Organization
- Organization Name
- Creative Orthotic & Prosthetic Services
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 14, 2007
- Last Updated
- May 31, 2012
Practice Location
Authorized Official
- Name
- CHARLES SEDILLO MATA, C.O.
- Title
- PRESIDENT
- Phone
- (850) 398-8159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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