Organization
CENTER FOR ORTHOTIC & PROSTHETIC CARE OF SCRANTON, LLC
Active
Organization
CENTER FOR ORTHOTIC & PROSTHETIC CARE OF SCRANTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
1500 MAIN ST, STE 2, OLYPHANT, PA 18447-1343
(570) 382-8208
(570) 483-4880
Mailing address
1500 MAIN ST, STE 2, OLYPHANT, PA 18447-1343
(570) 382-8208
(570) 483-4880
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
02/10/2019
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