Organization
BALANCE PROSTHETICS AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHALOWSKI (PRESIDENT)
(215) 300-8873
Entity
Organization
Contact information
Practice address
3601 CHICHESTER AVE, SUITE 108, UPPER CHICHESTER, PA 19061-3149
(484) 489-1006
(484) 489-1001
Mailing address
3601 CHICHESTER AVE, SUITE 108, UPPER CHICHESTER, PA 19061-3149
(484) 489-1006
(484) 489-1001
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102697184 0001
—
PA
05
—
1326317504
—
DE
05
—
2258099 00
—
MD
Enumeration date
12/18/2011
Last updated
08/03/2015
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