# STEVE'S SHOE SERVICE & PEDORTHIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396917159
- **Authorized official:** MR. STEVEN ALAN PETRARCA OST C PED (OWNER)
- **Authorized official phone:** (401) 885-5004

## Contact information

- **Practice address:** 135 FRENCHTOWN ROAD, SUITE 4, NORTH KINGSTOWN, RI 02852-1783
- **Practice address phone:** (401) 885-5004
- **Practice address fax:** (401) 885-8283
- **Mailing address:** 135 FRENCHTOWN ROAD, SUITE 4, NORTH KINGSTOWN, RI 02852-1783
- **Mailing address phone:** (401) 885-5004
- **Mailing address fax:** (401) 885-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 08/20/2008