Pediatric Orthotic and Prosthetic Services-Northeast,llc
NPI #1902208945 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1902208945
- Entity Type
- Organization
- Organization Name
- Pediatric Orthotic and Prosthetic Services-Northeast,llc
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Apr 23, 2025
Practice Location
- Address
- 516 CAREW ST
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01104-2330
- Phone
- (413) 735-1223
Authorized Official
- Name
- MR. BROCK MCCONKEY, MS, CPO
- Title
- MANAGER
- Phone
- (413) 735-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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