Shoe Fly Shoe, Inc.
NPI #1013102870 in Harrisburg, Pennsylvania
Provider Information
- NPI Number
- 1013102870
- Entity Type
- Organization
- Organization Name
- Shoe Fly Shoe, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- RT 22 & COLONIAL RD
- Address 2
- COLONIAL PARK MALL/IRVINGS SHOE FLY
- City
- Harrisburg
- State
- Pennsylvania
- ZIP Code
- 17109
- Phone
- (717) 671-0970
Authorized Official
- Name
- MR. TODD LEWIS
- Title
- OWNER
- Phone
- (814) 684-6040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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