NPI 1548679897

Functional Orthotics & Prosthetics

Organisation Prosthetic/Orthotic Supplier Albuquerque, NM

Practice location

Address: 5111 Juan Tabo Blvd NE STE a, Albuquerque, NM 87111-2672
Phone: (505) 200-9004
Fax: (505) 271-0217

Authorised official

Name: Steven Sexon Wrege
Title: President/Owner
Phone: (505) 200-9004

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence C49914 (MD)

Other Prosthetic/Orthotic Supplier providers in New Mexico →

Registry record

NPI: 1548679897
Entity type: Organization
NPI issued: 11 Aug 2014
Record last updated: 11 Aug 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.