NPI | 1245634898 |
---|---|
Doing Business As | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
Entity Type | Organization |
Authorized Contact | DONALD GOERTZEN President 309-676-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211-000147) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2021-02-23 |