Whalio Doctors

NPI 1427212471

Orthotic and Prosthetic Lab, INC.

Organisation Prosthetic/Orthotic Supplier Bridgeton, MO

Practice location

Address
12266 Depaul Dr Suite 120, Bridgeton, MO 63044-2514
Phone
(314) 739-9300
Mailing address
748 Marshall Ave, Webster Groves, MO 63119-1924

Authorised official

Name
Dave J Osterman
Title
President
Phone
(314) 968-8555

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary
Suppliers Taxonomy 335E00000X Licence 213.000099 (IL)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Prosthetic/Orthotic Supplier
Suppliers Taxonomy 335E00000X Licence 211.000024 (IL)

Registry record

NPI
1427212471
Entity type
Organization
NPI issued
17 Jul 2008
Record last updated
16 Feb 2017

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.