Advanced Orthotics & Prosthetics Clinic

NPI 1053593129 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1053593129
Enumeration Date 11/30/2007
Last Updated 12/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW MANUEL MATTHEW
Position OWNER
Phone (601) 649-0001
Fax (601) 649-0035
Practice Location
434 S 13TH AVE
LAUREL MS, 39440-4345, US
Phone (601) 649-0001
Fax (601) 649-0035
Business Location
PO BOX 6501
LAUREL MS, 39441-6501, US
Phone (601) 649-0001
Fax (601) 649-0035
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Advanced Orthotics & Prosthetics Clinic NPI is 1053593129, taxonomy code is 332B00000X Advanced Orthotics & Prosthetics Clinic physically located at 434 S 13th Ave, Laurel MS, 39440-4345. NPI Number 1033115704 has the healthcare provider type.

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1053593129 NPI number is provided on an as is basis without warranty of any kind. 1053593129 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Orthotics & Prosthetics Clinic are for informational purposes only.