Clearwater Orthotics And Prosthetics, LLC
Prosthetic/Orthotic Supplier in Lewiston, ID. Organization (NPI-2).
NPI number1285852004
StatusActive
Last updated in NPPESDec 1, 2011
Details
- NPI
- 1285852004
- Entity type
- Organization (NPI-2)
- Legal business name
- Clearwater Orthotics And Prosthetics, LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Dec 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
801 Bryden AveLewiston, ID 83501-4927
Phone 208-798-4605
Mailing address
Po Box 2620Hayden, ID 83835-2620
Authorized official
Karen Hale
Office Manager
8183575732
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