Organization
CROSSROADS ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PACAK CPO (OWNER/CLINICAL DIRECTOR)
(304) 241-4094
Entity
Organization
Contact information
Practice address
1137 VAN VOORHIS RD, SUITE 15, MORGANTOWN, WV 26505-3453
(304) 241-4094
Mailing address
PO BOX 4112, MORGANTOWN, WV 26504-4112
(304) 241-4094
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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