| Organization Name: | GREEN PROSTHETICS & ORTHOTICS LLC |
| NPI Number: | 1013951441 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES R LOEHRKE (VP) |
| Mailing Address: | 279 North St Meadville |
| State: | PA US |
| Postal Code: | 163352521 |
| Phone Number: | 8143371159 |
| Fax Number: | 8143377710 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |