MR. TERRY SUPAN, CPO
Orthotist
Active
Individual
NPI: 1366461410
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthotist | 222Z00000X | Yes | - |
| Prosthetist | 224P00000X | No | - |
Frequently Asked Questions
NPI 1366461410 is the National Provider Identifier for MR. TERRY SUPAN, CPO, a Orthotist provider located in Springfield, IL. This NPI was enumerated on July 19, 2006.
MR. TERRY SUPAN, CPO practices at 355 W CARPENTER STREET, SUITE B, Springfield, IL 62702.
Quick Facts
- NPI
- 1366461410
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Sep 11, 2025
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