Organization
TRINITY THERAPEUTIC SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH VINCENT OGLESBY JR. (OWNER)
(336) 457-5930
Entity
Organization
Contact information
Practice address
2401 OAK HILL DR, GREENSBORO, NC 27408-1940
(336) 457-5930
Mailing address
2401 OAK HILL DR, GREENSBORO, NC 27408-1940
(336) 457-5930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2007
Last updated
07/21/2007
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