Organization
RIVERVIEW ORTHOTICS PROSTHETICS INC
Active
Organization
RIVERVIEW ORTHOTICS PROSTHETICS INC
Active
Other names
Susquehanna Valley Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2 ATRIUM CT, SUITE B, SELINSGROVE, PA 17870-9019
(570) 743-1414
(570) 743-5215
Mailing address
2 ATRIUM CT, SUITE B, SELINSGROVE, PA 17870-9019
(570) 743-1414
(570) 743-5215
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018798690006
—
PA
Enumeration date
06/08/2015
Last updated
02/10/2019
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