OrganizationActive
Bayou Orthotic and Prosthetic Center LLC
NPI 1144078254 · Prosthetic/Orthotic Supplier · Covington, LA
Provider details
- NPI number
- 1144078254
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dwayne Mara, Managing Member(504) 833-7339
Specialties & taxonomies
Suppliers
Practice location
611 River Highlands Blvd Ste a
Covington, LA 70433-8908
Phone: (985) 302-3818
Fax: (504) 833-7559
Approximate (ZIP-level) locationGet directions
Mailing address
611 River Highlands Blvd Ste a
Covington, LA 70433-8908
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.