PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC

SHREVEPORT, LA
NPI1912303330
Entity TypeOrganization
Authorized ContactJOSEPH ANTHONY GOMEZ
Director Of O&P
318-226-4279
Organization Subpart ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2014-11-12
Last Update Date2025-04-23
Business Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-226-3310
Mailing Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
PO BOX 947109
ATLANTA, GA 30394-7109
Phone number: 318-226-3310
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