Organization
ORTHO-GAIT INC
Active
Other names
OrthoSport, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MOFFETT (OWNER-PRESIDENT)
(703) 263-1325
Entity
Organization
Contact information
Practice address
14100 PARKE LONG CT, SUITE A, CHANTILLY, VA 20151-1644
(703) 263-1325
(703) 263-1805
Mailing address
14100 PARKE LONG CT, SUITE A, CHANTILLY, VA 20151-1644
(703) 263-1325
(703) 263-1805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/22/2014
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