Crossroads Orthotics and Prosthetics LLC
NPI #1164892139 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1164892139
- Entity Type
- Organization
- Organization Name
- Crossroads Orthotics and Prosthetics LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 2, 2015
- Last Updated
- Oct 2, 2015
Practice Location
- Address
- 1137 VAN VOORHIS RD
- Address 2
- SUITE 15
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505-3453
- Phone
- (304) 241-4094
Authorized Official
- Name
- THOMAS PACAK, CPO
- Title
- OWNER/CLINICAL DIRECTOR
- Phone
- (304) 241-4094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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