| Organization Name: | ORTHOMED LLC |
| NPI Number: | 1487670550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA WHITE (PRACTICE MANAGER) |
| Mailing Address: | 3945 E Paradise Falls Dr #109 Tucson |
| State: | AZ US |
| Postal Code: | 857126683 |
| Phone Number: | 5203210204 |
| Fax Number: | 5203210495 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 03/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |