NPI | 1295062594 |
---|---|
Doing Business As | COMPREHENSIVE PROSTHETICS & 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) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: IL 213-000118) |
222Z00000X Orthotist (Licence: IL 213-000118) | |
Enumeration Date | 2009-11-06 |
Last Update Date | 2019-01-14 |