V&a Bootery INC
NPI #1750943114 in Portage, Michigan
Provider Information
- NPI Number
- 1750943114
- Entity Type
- Organization
- Organization Name
- V&a Bootery INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 5, 2019
- Last Updated
- Jul 5, 2019
Practice Location
Authorized Official
- Name
- MR. ELLIOTT ROSS MILLER
- Title
- MANAGER
- Phone
- (630) 880-9528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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