Organization
CUSTOM ARTIFICIAL LIMB AND BRACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P REAGLE C.P.O. (PRESIDENT)
(724) 654-3991
Entity
Organization
Contact information
Practice address
601 WILMINGTON AVE, NEW CASTLE, PA 16101-2142
(724) 654-3991
(724) 654-2447
Mailing address
601 WILMINGTON AVE, NEW CASTLE, PA 16101-2142
(724) 654-3991
(724) 654-2447
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011888600002
—
PA
Enumeration date
03/28/2006
Last updated
08/22/2020
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