Provider Demographics
NPI:1265244867
Name:ADVANCE ORTHOTIC PROSTHETIC SERVICES, INC
Entity type:Organization
Organization Name:ADVANCE ORTHOTIC PROSTHETIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-786-7022
Mailing Address - Street 1:207 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-9479
Mailing Address - Country:US
Mailing Address - Phone:207-786-7022
Mailing Address - Fax:207-777-1787
Practice Address - Street 1:260 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2445
Practice Address - Country:US
Practice Address - Phone:207-786-7022
Practice Address - Fax:207-777-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment