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NPI Code Detail

MEDICARE: HANGER PROSTHETICS & ORTHOTICS INC

MEDICARE: HANGER PROSTHETICS & ORTHOTICS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1457889867
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANGER PROSTHETICS & ORTHOTICS INC
Provider Business Mailing Address
First Line : 4155 E LA PALMA AVE STE B400
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-1857
Country : US
Telephone Number : 714-961-2102
Fax Number :
Provider Business Practice Location Address
First Line : 1313 W REELFOOT AVE STE A
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5552
Country : US
Telephone Number : 731-437-2007
Fax Number :
Authorized Official
Title or Position : REG COMPLIANCE SPECIALIST III
Name : GRACE ANGELINE
Credential :
Telephone Number : 714-961-2102
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/30/2017

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Directions to “HANGER PROSTHETICS & ORTHOTICS INC ” Practice Location

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