Organization
PRESCRIPTION FOOT BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN MARIE MCCOY (DIRECTOR OF OPERATIONS)
(413) 283-3668
Entity
Organization
Contact information
Practice address
1223 THORNDIKE STREET, PALMER, MA 01069-1564
(413) 283-3668
(413) 289-1798
Mailing address
1223 THORNDIKE STREET, PALMER, MA 01069-1564
(413) 283-3668
(413) 289-1798
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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