Organization
KEYSTONE PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G PATRICK P.T.,C.P.O. (PRESIDENT)
(570) 307-4191
Entity
Organization
Contact information
Practice address
334 MAIN STREET, SUITE 2, DICKSON CITY, PA 18519
(570) 307-4191
(570) 307-4195
Mailing address
334 MAIN STREET, SUITE 2, DICKSON CITY, PA 18519
(570) 307-4191
(570) 307-4195
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016100400004
—
PA
Enumeration date
10/04/2006
Last updated
07/01/2008
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