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DYNAMIC ORTHOTIC SERVICES INC NPI 1457973554


NPI Information

NPI: 1457973554
Provider Name: DYNAMIC ORTHOTIC SERVICES, INC

Doing Business As: DYNAMIC REHABILITATIVE ORTHOTIC & PROSTHETIC SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
103 E PINHOOK RD
LAFAYETTE, LA
ZIP 70501
Phone: (337) 291-1016
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DYNAMIC ORTHOTIC SERVICES, INC is a multi-specialty clinic center in Lafayette, LA. DYNAMIC ORTHOTIC SERVICES, INC NPI is 1457973554. The provider is registered as an organization entity type.
The provider Is Doing Business As Dynamic Rehabilitative Orthotic & Prosthetic Services.

The provider's business location address is:

103 E PINHOOK RD
LAFAYETTE, LA
ZIP 70501-531
Phone: (337) 291-1016
Fax: (337) 984-7403

The provider's authorized official is Sebastian Margaglio .
The authorized official title is President and has the following contact phone number (337) 291-1016.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 8/20/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11187143MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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