PREVAIL PROSTHETICS AND ORTHOTICS INC NPI 1366583759

NPI Information

PREVAIL PROSTHETICS AND ORTHOTICS, INC is a prosthetic orthotic supplier in Fort Wayne, IN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PREVAIL PROSTHETICS AND ORTHOTICS, INC NPI is 1366583759. The provider is registered as an organization entity type.

The provider's business location address is:

7735 W JEFFERSON BLVD
SUITE C
FORT WAYNE, IN
ZIP 46804-135
Phone: (260) 483-5219
Fax: (260) 484-2291

The provider's authorized official is Christi Hudson .
The authorized official title is Business Manager and has the following contact phone number (260) 483-5219.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 11/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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