Organization
RED'S SHOE BARN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA J. CULLEN (IT MANAGER)
(603) 742-1893
Entity
Organization
Contact information
Practice address
35 BROADWAY, DOVER, NH 03820-3217
(603) 742-1893
(603) 742-9133
Mailing address
35 BROADWAY, DOVER, NH 03820-3217
(603) 742-1893
(603) 742-9133
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
11/22/2010
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