Organization
GOTYOURBACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRONWEN DUPERTUIS (OWNER/PRESIDENT)
(610) 834-3992
Entity
Organization
Contact information
Practice address
521 E HECTOR ST, CONSHOHOCKEN, PA 19428-1920
(610) 834-3992
Mailing address
521 E HECTOR ST, CONSHOHOCKEN, PA 19428-1920
(610) 834-3992
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
PA
Other
Enumeration date
06/27/2013
Last updated
07/21/2022
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