Jenco Prosthetics & Orthotics, LLC

NPI #1851612725 in Logan, Utah

Provider Information

NPI Number: 1851612725
Entity Type: Organization
Organization Name: Jenco Prosthetics & Orthotics, LLC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jun 15, 2010
Last Updated: Jun 15, 2010

Practice Location

Address: 1153 N MAIN ST
Address 2: SUITE B-140
City: Logan
State: Utah
ZIP Code: 84341-2495
Phone: (435) 750-6579

Authorized Official

Name: PATRICK HITE
Title: OWNER
Phone: (801) 566-5795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X	Primary

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