Organization
CENTRAL ORTHOTIC & PROSTHETIC CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C BEEN (PRESIDENT)
(814) 535-8221
Entity
Organization
Contact information
Practice address
3271 ROUTE 119 HWY S, HOMER CITY, PA 15748-6901
(724) 479-2440
(814) 536-9047
Mailing address
725 FRANKLIN ST, JOHNSTOWN, PA 15901-2823
(814) 535-8221
(814) 536-9047
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007283160001
—
PA
Enumeration date
11/03/2006
Last updated
09/23/2015
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