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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1891935763 |
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| LBN Legal business name | VICTORY ORTHOTICS & PROSTHETICS LLC | ||||||||||||
| Authorized official | BRAD GARDNER - (COO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/04/2009 | ||||||||||||
| Last updated | 10/03/2018 - About 8 years ago | ||||||||||||
| Identifiers |
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VICTORY ORTHOTICS & PROSTHETICS LLC