Organization
PENNLEE FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY J ZUREK (OWNER)
(570) 825-5346
Entity
Organization
Contact information
Practice address
163 E MAIN ST, WILKES BARRE, PA 18705-2813
(500) 825-5346
(570) 825-1491
Mailing address
163 E MAIN ST, WILKES BARRE, PA 18705-2813
(500) 825-5346
(570) 825-1491
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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