Organization
SORRENTINO BOOTS & BRITCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A SORRENTINO (OWNER)
(330) 792-6361
Entity
Organization
Contact information
Practice address
60 N CANFIELD NILES RD, STE 800, AUSTINTOWN, OH 44515-2340
(330) 792-6361
(330) 792-6383
Mailing address
60 N. CANFIELD NILES RD, STE 800, AUSTINTOWN, OH 44515-2341
(330) 792-6361
(330) 729-6383
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPED-0067
OH
Other
Enumeration date
09/09/2008
Last updated
09/23/2008
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