Organization
ORTHOPAEDIC MOBILITY RENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE MANZANO (OWNER)
(571) 340-8961
Entity
Organization
Contact information
Practice address
7023 ROGUE FOREST LN, GAINESVILLE, VA 20155-1698
(571) 340-8961
Mailing address
7023 ROGUE FOREST LN, GAINESVILLE, VA 20155-1698
(571) 340-8961
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00000000
VA
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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