| NPI | 1700977436 |
|---|---|
| Doing Business As | ADVANTAGE PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | MARTHA B COLEMAN President Owner 318-219-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |