Organization
ON THE GO PORTABLE OXYGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY PENZERA (OWNER)
(724) 457-4502
Entity
Organization
Contact information
Practice address
143 HARTMAN RD STE 13, GREENSBURG, PA 15601-7220
(724) 457-4502
Mailing address
143 HARTMAN RD STE 13, GREENSBURG, PA 15601-7220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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