Organization
SHOEMATE ORTHOTICS CORP.
Active
Other names
The Orthotic Works
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GLOGOWSKI (VICE PRESIDENT)
(905) 873-4884
Entity
Organization
Contact information
Practice address
162 COLLINS RD NE, PMB 230, CEDAR RAPIDS, IA 52402-3229
(905) 873-4884
Mailing address
162 COLLINS RD NE, PMB 230, CEDAR RAPIDS, IA 52402-3229
(905) 873-4884
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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