NPI 1962699504

Desert Prosthetic & Orthotic Rehabilitation

Organisation Prosthetic/Orthotic Supplier Gilbert, AZ

Practice location

Address: 4915 E. Baseline Road Suite 109, Gilbert, AZ 85234
Phone: (480) 497-9929
Fax: (480) 497-9928
Mailing address: 4915 E. Baseline Rd. Suite 109, Gilbert, AZ 85234

Authorised official

Name: Jerry Autry
Title: Owner
Phone: (480) 497-9929

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1962699504
Entity type: Organization
NPI issued: 27 Sep 2007
Record last updated: 22 Feb 2010

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.