Organization
PROSTRIDE ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARTI MEHTA C.PED, CFO (PEDORTHIST)
(804) 310-3894
Entity
Organization
Contact information
Practice address
2610 GASKINS RD STE A, HENRICO, VA 23238-1403
(804) 310-3894
Mailing address
PO BOX 5382, GLEN ALLEN, VA 23058-5382
(804) 310-3894
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
4134
VA
Other
Enumeration date
08/02/2017
Last updated
10/13/2024
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