Organization
THE FOOTWORKS STORE INC.
Active
Other names
THE FOOTWORKS STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GLASS C.PED., L.PED. (OWNER)
(614) 367-1510
Entity
Organization
Contact information
Practice address
1302 HILL RD N, PICKERINGTON, OH 43147-0000
(614) 367-1510
(614) 367-1246
Mailing address
1302 HILL RD N, PICKERINGTON, OH 43147-0000
(614) 367-1510
(614) 367-1246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317250
BC/BS
OH
Enumeration date
08/05/2006
Last updated
11/26/2024
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