FORM ORTHOTICS & PROSTHETICS, PLLC

ROCKFORD, IL
NPI1740113422
Entity TypeOrganization
Authorized ContactMICAH ALFORD
Founder
402-212-7878
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2026-06-04
Last Update Date2026-06-04
Business Address
FORM ORTHOTICS & PROSTHETICS, PLLC
4921 E STATE ST LOWR LEVEL
ROCKFORD, IL 61108-2275
Phone number: 402-212-7878
Mailing Address
FORM ORTHOTICS & PROSTHETICS, PLLC
4921 E STATE ST LOWR LEVEL
ROCKFORD, IL 61108-2275
Phone number:
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