| Dynamic Orthotic Services, Inc. | |
|
103 E Pinhook Rd Lafayette LA 70501-8531 | |
| (337) 291-1016 | |
| (337) 704-0324 |
| Full Name | Dynamic Orthotic Services, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 07/16/2021 |
| Medicare PECOS PAC ID | 5294856654 |
|---|---|
| Medicare Enrollment ID | O20100930028428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891786711 | NPI | - | NPPES |
| 1187143 | Medicaid | LA |
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