| Dynamic Rehabilitative Orthotic & Prosthetic Services | |
|
103 E Pinhook Rd Lafayette LA 70501-8531 | |
| (337) 291-1016 | |
| (337) 984-7403 |
| Full Name | Dynamic Rehabilitative Orthotic & Prosthetic Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 103 E Pinhook Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Sebastian Margaglio (PRESIDENT) |
| Authorized Official Contact | 3372911016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Rehabilitative Orthotic & Prosthetic Services 103 E Pinhook Rd Lafayette LA 70501-8531 Ph: (337) 291-1016 | Dynamic Rehabilitative Orthotic & Prosthetic Services 103 E Pinhook Rd Lafayette LA 70501-8531 Ph: (337) 291-1016 |
| NPI Number | 1457973554 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457973554 | NPI | - | NPPES |
| 1187143 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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