NPI 1225366792

Innovative Prosthetic Solutions, INC

Organisation Prosthetic/Orthotic Supplier Windham, ME

Practice location

Address: 120 Percy Hawkes Rd, Windham, ME 04062-4397
Phone: (207) 482-9874
Mailing address: 110 Marginal Way #192, Portland, ME 04101-2442

Authorised official

Name: James W Vandersea
Title: President
Phone: (207) 482-9874

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1225366792
Entity type: Organization
NPI issued: 21 Nov 2009
Record last updated: 21 Nov 2009

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.