Organization
VALLEY ORTHOTIC SPECIALISTS, INC
Active
Organization
VALLEY ORTHOTIC SPECIALISTS, INC
Active
Other names
Valley Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH A LANE CO (CERTIFIED ORTHOTIST)
(540) 667-3631
Entity
Organization
Contact information
Practice address
212 LINDEN DR STE 156-158, WINCHESTER, VA 22601-2862
(540) 667-3631
(540) 667-3632
Mailing address
1726 AMHERST ST, WINCHESTER, VA 22601-2807
(540) 667-3631
(540) 667-3632
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO2397
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427284538
—
VA
05
—
3810015957
—
WV
01
—
6296160001
MEDICARE PTAN
—
Enumeration date
03/23/2011
Last updated
10/06/2022
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