Susquehanna Valley Prosthetics & Orthotics INC
NPI #1932194271 in Shamokin Dam, Pennsylvania
Provider Information
- NPI Number
- 1932194271
- Entity Type
- Organization
- Organization Name
- Susquehanna Valley Prosthetics & Orthotics INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUSQUEHANNA VALLEY PROSTHETICS & ORTHOTICS INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 13, 2005
- Last Updated
- Jan 3, 2008
Practice Location
- Address
- 3120 N OLD TRAIL
- City
- Shamokin Dam
- State
- Pennsylvania
- ZIP Code
- 17876
- Phone
- (570) 743-1414
Authorized Official
- Name
- MR. FRANK THOMAS DOMINICK III, CP
- Title
- OWNER CERTIFIED PROSTHETIST
- Phone
- (570) 743-1414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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