Northwest Orthotics & Prosthetics INC

NPI #1912991738 in Provo, Utah

Provider Information

NPI Number: 1912991738
Entity Type: Organization
Organization Name: Northwest Orthotics & Prosthetics INC
Subpart: Yes (part of a larger organization)
Parent Organization: HANGER CLINIC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Sep 8, 2005
Last Updated: Aug 28, 2024

Practice Location

Address: 1675 N FREEDOM BLVD STE 12C
City: Provo
State: Utah
ZIP Code: 84604-6940
Phone: (801) 377-3433

Authorized Official

Name: GRACE ANGELINE
Title: PROVIDER CONTRACT ANALYST III
Phone: (714) 961-2102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Prosthetic/Orthotic Supplier	335E00000X	Primary

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