PERFORMANCE PROSTHETICS & ORTHOTICS PL NPI 1518594704

NPI Information

PERFORMANCE PROSTHETICS & ORTHOTICS, PL is a prosthetic orthotic supplier in Crestview, FL. 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. PERFORMANCE PROSTHETICS & ORTHOTICS, PL NPI is 1518594704. The provider is registered as an organization entity type.

The provider's business location address is:

753 ASHLEY DR
CRESTVIEW, FL
ZIP 32536-231
Phone: (850) 331-3664
Fax: (850) 607-6674

The provider's authorized official is Scott David Cooper .
The authorized official title is Office Manager and has the following contact phone number (850) 607-6126.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 9/24/2020.

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:

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