IndividualActive
Robert Wayne, B.O.C.O
NPI 1477050615 · Orthotist · Waddell, AZ
Provider details
- NPI number
- 1477050615
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.O.C.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- C15463 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18140 W Purdue Ave
Waddell, AZ 85355-4237
Phone: (602) 320-4521
Approximate (ZIP-level) locationGet directions
Mailing address
18140 W Purdue Ave
Waddell, AZ 85355-4237
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.