Village Shoe Service, LLC

NPI #1831334978 in Tucker, Georgia

Provider Information

NPI Number
1831334978
Entity Type
Organization
Organization Name
Village Shoe Service, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Dec 3, 2008
Last Updated
Sep 25, 2009

Practice Location

Address
4286 RAILROAD AVE
City
Tucker
State
Georgia
ZIP Code
30084-4487
Phone
(770) 938-7463

Authorized Official

Name
MR. LARRY WILLIAM SCHUPBACH JR., C.PED.
Title
OWNER
Phone
(770) 938-7463

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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