Custom Prosthetic & Orthotic
Custom Prosthetic & Orthotic is a Prosthetic/Orthotic Supplier in Clinton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.
- Licensed in
- MS
- In the registry since
- 2008
Practice location Address checks out
801 E Northside Dr Ste - DClinton, MS 39056-3663
Phone: (601) 906-1024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X (MS) |
|---|
Record details
| NPI number | 1710147301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnnie Owens — Owner President · (601) 906-1024 |
| NPI enumerated | June 17, 2008 |
| Last updated in NPPES | March 15, 2012 |
| Mailing address | 801 E Northside Dr, Suite - D, Clinton, MS 39056-3663 |
Other providers in Clinton
-
Nelson Wilson, IV
801 E Northside Dr Ste D, Clinton, MS 39056-3663 · (601) 924-2888