PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER NPI 1073655858

NPI Information

PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER is a prosthetic orthotic supplier in Sioux Falls, SD. 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. PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER NPI is 1073655858. The provider is registered as an organization entity type.

The provider's business location address is:

620 W 18TH ST
SIOUX FALLS, SD
ZIP 57104-844
Phone: (605) 332-1878
Fax: (605) 334-4045

The provider's authorized official is Brian Green .
The authorized official title is Ceo and has the following contact phone number (507) 281-5250.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/3/2012.

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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