OrganizationActive
Functional Dme
NPI 1407347586 · Prosthetic/Orthotic Supplier · Washington, LA
Provider details
- NPI number
- 1407347586
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Colleen Ryan, Owner(225) 412-9955
Specialties & taxonomies
Suppliers
Suppliers
Practice location
930b Prayer House Rd
Washington, LA 70589-9113
Phone: (225) 412-9955
Fax: (225) 412-9957
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1772
Opelousas, LA 70571-1772
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.