Organization
WESTERN RESERVE ORTHOTICS PROSTHETICS CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA PALOWITZ (ADMINISTRATIVE SUPERVISOR)
(330) 792-6826
Entity
Organization
Contact information
Practice address
243 THREE SPRINGS DR STE 14A, WEIRTON, WV 26062-3885
(330) 792-6826
Mailing address
6431 MAHONING AVE, YOUNGSTOWN, OH 44515-2039
(330) 792-6826
(330) 792-8493
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2229225
—
OH
01
—
4228050001
MEDICARE
OH
Enumeration date
09/25/2020
Last updated
08/13/2024
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