Impact Prosthetic Solutions, Llc

NPI 1255519799 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1255519799
Enumeration Date 02/06/2008
Last Updated 12/18/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RICO DARRYL RICO
Position CO-OWNER/MANAGER
Phone (704) 510-2204
Fax (704) 510-2218
Practice Location
2614 EAST 7TH STREET
SUITE B
CHARLOTTE NC, 28204-4375, US
Phone (704) 510-2204
Fax (704) 510-2218
Business Location
2614 EAST 7TH STREET
SUITE B
CHARLOTTE NC, 28204-4375, US
Phone (704) 510-2204
Fax (704) 510-2218
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Impact Prosthetic Solutions, Llc NPI is 1255519799, taxonomy code is 335E00000X Impact Prosthetic Solutions, Llc physically located at 2614 East 7th Street, Charlotte NC, 28204-4375. NPI Number 1033115704 has the healthcare provider type.

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1255519799 NPI number is provided on an as is basis without warranty of any kind. 1255519799 is maintained by the National Plan & Provider Enumeration System. The contents of Impact Prosthetic Solutions, Llc are for informational purposes only.