Prosthetic Orthotic Specialist INC

NPI #1851389449 in Peoria, Illinois

Provider Information

NPI Number
1851389449
Entity Type
Organization
Organization Name
Prosthetic Orthotic Specialist INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Oct 9, 2005
Last Updated
Jul 30, 2018

Practice Location

Address
701 NE JEFFERSON AVE
City
Peoria
ZIP Code
61603
Phone
(309) 688-9549

Authorized Official

Name
MR. DONALD GOERTZEN, CPO
Title
PRESIDENT
Phone
(309) 676-2276

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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