NPI 1225627185

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Organisation Prosthetic/Orthotic Supplier Indianapolis, IN

Practice location

Address: 4041 N Audubon Rd, Indianapolis, IN 46226-4740
Phone: (317) 998-0991

Authorised official

Name: Dominique Hensley
Title: Owner
Phone: (317) 998-0991

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1225627185
Entity type: Organization
NPI issued: 14 Jan 2021
Record last updated: 14 Jan 2021

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.