NPI 1144078254

Bayou Orthotic and Prosthetic Center LLC

Organisation Prosthetic/Orthotic Supplier Covington, LA

Practice location

Address: 611 River Highlands Blvd STE a, Covington, LA 70433-8908
Phone: (985) 302-3818
Fax: (504) 833-7559

Authorised official

Name: Dwayne Mara
Title: Managing Member
Phone: (504) 833-7339

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1144078254
Entity type: Organization
NPI issued: 13 May 2024
Record last updated: 13 May 2024

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.