Organization
TPJK INC
Active
Other names
The Shoe Center- Healthy Footwear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA CONRAD KOWASIC PEDORTHIST (PRESIDENT)
(540) 347-4330
Entity
Organization
Contact information
Practice address
67 MAIN ST, WARRENTON, VA 20186-3421
(540) 347-4330
(540) 347-4330
Mailing address
67 MAIN ST, WARRENTON, VA 20186-3421
(540) 347-4330
(540) 347-4330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Enumeration date
07/29/2010
Last updated
07/21/2022
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