NPI 1265257794

Firm Foundation Prosthetics LLC

Organisation Prosthetic/Orthotic Supplier Fort Wayne, IN

Practice location

Address: 5505 Coventry Ln, Fort Wayne, IN 46804-7144
Phone: (317) 522-6380
Mailing address: 3236 Copper Hill Run, Fort Wayne, IN 46804-3425

Authorised official

Name: Kameron Mitchell
Title: Cpo
Phone: (317) 522-6380

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1265257794
Entity type: Organization
NPI issued: 19 Nov 2024
Record last updated: 19 Nov 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.