Custom Prosthetics & Orthotics
NPI #1851339410 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1851339410
- Entity Type
- Organization
- Organization Name
- Custom Prosthetics & Orthotics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 515 N 6TH ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2407
- Phone
- (870) 762-5151
Authorized Official
- Name
- BRANDON D HARPER
- Title
- OWNER
- Phone
- (870) 762-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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