NPI | 1710202056 |
---|---|
Doing Business As | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
Entity Type | Organization |
Authorized Contact | DONALD GOERTZEN President 800-334-5705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist (Licence: IL 211000225) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
222Z00000X Orthotist (Licence: IL 213000118) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2018-07-30 |