Healthcare Provider Details

I. General information

NPI: 1831384528
Provider Name (Legal Business Name): OCEAN ORTHOPEDIC SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 PRESIDENT AVE
FALL RIVER MA
02720-2649
US

IV. Provider business mailing address

126 PRESIDENT AVE
FALL RIVER MA
02720-2649
US

V. Phone/Fax

Practice location:
  • Phone: 508-682-6887
  • Fax:
Mailing address:
  • Phone: 508-682-6887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH R. KELLEHER
Title or Position: OFFICE MGR.
Credential:
Phone: 508-672-6887