| NPI | 1104859248 |
|---|---|
| Doing Business As | SAN JUAN PROSTHETICS AND ORTHOTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN OBRIEN President 970-259-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 1428) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |