The Shoe Tree, INC
NPI #1801822937 in Pismo Beach, California
Provider Information
- NPI Number
- 1801822937
- Entity Type
- Organization
- Organization Name
- The Shoe Tree, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 801 DOLLIVER ST
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-2503
- Phone
- (805) 773-5571
Authorized Official
- Name
- RICHARD BOYLD TAYLOR
- Title
- OWNR/PRESIDENT
- Phone
- (805) 773-5571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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