Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1245278811 |
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| LBN Legal business name | PATRIOT ORTHOTIC PRODUCTS LLC | ||||
| Authorized official | SUSAN RAYMOND - (GENERAL PARTNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/03/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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