Organization
CAPITAL PROSTHETIC AND ORTHOTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J. KOZERSKY LPO, CPO, FAAOP (PRESIDENT)
(614) 451-0446
Entity
Organization
Contact information
Practice address
20 EXECUTIVE CENTER DR, SUITE F, CHILLICOTHE, OH 45601-8150
(740) 779-3650
(740) 779-3652
Mailing address
20 EXECUTIVE CENTER DR, SUITE F, CHILLICOTHE, OH 45601-8150
(740) 779-3650
(740) 779-3652
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930378
—
OH
Enumeration date
04/02/2007
Last updated
06/14/2011
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