Complete Care Prosthetics And Orthotics LLC
Prosthetic/Orthotic Supplier in Philadelphia, PA. Organization (NPI-2).
NPI number1225628670
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1225628670
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Care Prosthetics And Orthotics LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 222Z00000X | – | – | ||
| 224P00000X | Prosthetist | – | – |
Other names
- Complete Care Prosthetics And Orthotics LLC (Doing Business As)
Practice location
600 Washington Ave Ste 18ucPhiladelphia, PA 19147-4836
Phone 215-298-0604 · Fax 215-298-0608
Mailing address
600 Washington Ave Ste 18ucPhiladelphia, PA 19147-4836
Phone 215-298-0604 · Fax 215-298-0608
Authorized official
Abiodun Oluwagbenga Sobowale
Prosthetist/Orthotist
2152980604
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All 45 Prosthetic/Orthotic Supplier providers in Philadelphia · All 53,595 providers in Philadelphia
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