Organization
DOLLIVER TREE, INC.
Active
Other names
The Shoe Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY LEWIS MORABITO (VICE PRESIDENT)
(805) 235-1752
Entity
Organization
Contact information
Practice address
801 DOLLIVER ST, PISMO BEACH, CA 93449-2503
(805) 773-5571
(805) 773-1270
Mailing address
801 DOLLIVER ST, PISMO BEACH, CA 93449-2503
(805) 773-5571
(805) 773-1270
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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