Otto Bock Patient Care, LLC
NPI #1831897800 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1831897800
- Entity Type
- Organization
- Organization Name
- Otto Bock Patient Care, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 20, 2023
- Last Updated
- Feb 20, 2023
Practice Location
- Address
- 13 EXECUTIVE DR
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1342
- Phone
- (618) 212-0006
Authorized Official
- Name
- PALLAVI CHINTAPALLI NEMANI
- Title
- COMPLIANCE OFFICER
- Phone
- (512) 552-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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