Individual
RICHARD ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 W 26TH ST STE 1, ERIE, PA 16508-1148
(800) 231-5630
Mailing address
1910 W 26TH ST STE 1, ERIE, PA 16508-1148
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
OF000127
PA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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