Organization
ASSISTIVE TECH PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REXFORD CAMPBELL ATP, RET (CEO)
(570) 814-1148
Entity
Organization
Contact information
Practice address
315 HOWELL RD, SHAVERTOWN, PA 18708-9642
(570) 814-1148
(570) 300-1808
Mailing address
315 HOWELL RD, SHAVERTOWN, PA 18708-9642
(570) 814-1148
(570) 300-1808
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZB0301X
Biomedical Engineer
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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