NPI 1194225227

David B Rotter, CPO

Practitioner Prosthetist Joliet, IL

Practice location

Address: 121 Springfield Ave STE 4, Joliet, IL 60435-6545
Phone: (815) 255-3220
Fax: (630) 424-0467

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211000159 (IL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000185 (IL)

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 212000113 (IL)

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Registry record

NPI: 1194225227
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2018
Record last updated: 11 Apr 2019

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.