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Organization
GREAT STRIDES
Active
Organization
GREAT STRIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOYT OLIN C.O. (PRESIDENT/OWNER)
(203) 272-7862
Entity
Organization
Contact information
Practice address
335 HIGHLAND AVE, CHESHIRE, CT 06410-2549
(203) 272-7862
Mailing address
689 YALESVILLE RD, CHESHIRE, CT 06410-2932
(203) 272-7862
(203) 272-3834
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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