Organization
LA SHOE INC.
Active
Other names
La Foot plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MARC SHERWOOD MA, MSPT, OCS, ATC (PRESIDENT)
(916) 922-4441
Entity
Organization
Contact information
Practice address
903 HOWE AVE, SACRAMENTO, CA 95825-3908
(916) 922-4441
Mailing address
903 HOWE AVE, SACRAMENTO, CA 95825-3908
(916) 922-4441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2251X0800X
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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