Jackrabbit Shoes and Orthotics, Inc.
NPI #1982903720 in Benicia, California
Provider Information
- NPI Number
- 1982903720
- Entity Type
- Organization
- Organization Name
- Jackrabbit Shoes and Orthotics, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Mar 18, 2011
- Last Updated
- Mar 18, 2011
Practice Location
- Address
- 4576 E 2ND ST
- Address 2
- H
- City
- Benicia
- State
- California
- ZIP Code
- 94510-1046
- Phone
- (707) 751-1630
Authorized Official
- Name
- MR. DALE SOVAK
- Title
- OWNER
- Phone
- (707) 751-1630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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