Organization
FOOTWORKS ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ROBERTS C. PED. (PRESIDENT)
(262) 968-3643
Entity
Organization
Contact information
Practice address
W314S2556 PENNY LN, WALES, WI 53183-9671
(262) 968-3643
Mailing address
W314S2556 PENNY LN, WALES, WI 53183-9671
(262) 968-3643
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/23/2008
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