Organization Name: | ORTHOCARE INNOVATIONS, LLC |
NPI Number: | 1134368566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW ROSS MILLER (DIRECTOR OF ACCOUNTING AND FINANCE) |
Mailing Address: | 6405 218th St Sw Ste 301 Mountlake Terrace |
State: | WA US |
Postal Code: | 980432180 |
Phone Number: | 8006721710 |
Fax Number: | 4052395372 |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Amputee |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |