NPI 1114176138

Prosthetic Design INC

Organisation Prosthetic/Orthotic Supplier St. Peters, MO

Practice location

Address: 142 Jungermann Road, St. Peters, MO 63376
Phone: (314) 535-5359
Fax: (314) 535-5488
Mailing address: PO Box 444, Ballwin, MO 63022

Authorised official

Name: Deborah J Wilson
Title: Owner/V.P.
Phone: (314) 535-5359

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 17156319 (MO)

Other Prosthetic/Orthotic Supplier providers in Missouri →

Registry record

NPI: 1114176138
Entity type: Organization
NPI issued: 15 Sep 2008
Record last updated: 15 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.