PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC is a prosthetic orthotic supplier in Shreveport, LA. 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. PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC NPI is 1912303330. The provider is registered as an organization entity type.
The provider's business location address is:
3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103-239
Phone: (318) 226-3310
Fax: (318) 226-4294
The provider's authorized official is Joseph Anthony Gomez .
The authorized official title is Director Of O&p and has the following contact phone number (318) 226-4279.
The enumeration date for this NPI number is 11/12/2014 and was last updated on 2/2/2016.