Organization
MAXIMUM MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GERARD KLOSSNER OTR/L, ATP, RTS (OWNER)
(570) 882-7436
Entity
Organization
Contact information
Practice address
117 N KEYSTONE AVE, SAYRE, PA 18840
(570) 882-7436
(570) 882-7438
Mailing address
117 N KEYSTONE AVE, SAYRE, PA 18840-1403
(570) 882-7436
(570) 882-7438
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02987039
—
NY
05
—
1024644040001
—
PA
Enumeration date
12/27/2006
Last updated
05/23/2018
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