NPI 1548545585

Innovative Prosthetics & Orthotics of Grand Island, LLC

Organisation Prosthetic/Orthotic Supplier Grand Island, NE

Practice location

Address: 1213 Allen Dr, Grand Island, NE 68803-3333
Phone: (308) 675-1508
Fax: (308) 675-1509

Authorised official

Name: Rakesh Srivastava
Title: Owner
Phone: (402) 461-4931

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1548545585
Entity type: Organization
NPI issued: 20 Oct 2011
Record last updated: 16 Oct 2014

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.