Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST, LLC
Authorized official
ALEX BETANCOURT (MANAGER)
(814) 875-8895
Entity
Organization
Contact information
Practice address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8700
(814) 875-8756
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
04/23/2025
About Stedi
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