Footprints Fashion Footwear
NPI #1003860263 in Newington, Connecticut
Provider Information
- NPI Number
- 1003860263
- Entity Type
- Organization
- Organization Name
- Footprints Fashion Footwear
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 79 COSTELLO RD
- City
- Newington
- State
- Connecticut
- ZIP Code
- 06111-5109
- Phone
- (860) 666-3100
Authorized Official
- Name
- MR. SCOTT D COHEN
- Title
- VICE PRESIDENT
- Phone
- (860) 666-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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