Dynamic Orthotic Services, Inc. | |
103 E Pinhook Rd Lafayette LA 70501-8531 | |
(337) 291-1016 | |
(337) 704-0324 |
Full Name | Dynamic Orthotic Services, Inc. |
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Speciality | Prosthetic/Orthotic Supplier |
Location | 103 E Pinhook Rd, Lafayette, Louisiana |
Authorized Official Name and Position | Sam Margaglio (PRESIDENT) |
Authorized Official Contact | 3372911016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dynamic Orthotic Services, Inc. 103 E Pinhook Rd Lafayette LA 70501-8531 Ph: (337) 291-1016 | Dynamic Orthotic Services, Inc. 103 E Pinhook Rd Lafayette LA 70501-8531 Ph: (337) 291-1016 |
NPI Number | 1891786711 |
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Provider Enumeration Date | 10/31/2005 |
Last Update Date | 07/16/2021 |
Medicare PECOS PAC ID | 5294856654 |
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Medicare Enrollment ID | O20100930028428 |
Identifier | Type | State | Issuer |
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1891786711 | NPI | - | NPPES |
1187143 | Medicaid | LA |
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