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Smart Form Inc
Prosthetic/Orthotic Supplier in Pittsburgh, Pennsylvania
NPI 1033102330

Smart Form Inc is a Prosthetic/Orthotic Supplier based in Pittsburgh, PA. Smart Form Inc practices in Pittsburgh, PA. The NPI Number for Smart Form Inc is 1033102330 and holds a License No. (Pennsylvania).

The current practice location address for Smart Form Inc is 100 5Th Ave, Pittsburgh, PA and can be reached out via phone at 412-281-9913 and via fax at 412-281-8074.

Location: 100 5Th Ave, Pittsburgh, PA, 15222-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033102330
Provider Name
Smart Form Inc
Credential
Provider Entity Type
Organization
Address
100 5Th Ave, Pittsburgh, PA, 15222-1821
Phone Number
412-281-9913
Fax Number
412-281-8074
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016096020001 05 PA
institution
Provider Business Practice Location Address Details
Address
100 5Th Ave
City
Pittsburgh
State
Pennsylvania
Zip
15222-1821
Phone Number
412-281-9913
Fax Number
412-281-8074
person
Provider Business Mailing Address Details
Address
100 5Th Ave
City
Pittsburgh
State
Pennsylvania
Zip
15222-1821
Phone Number
412-281-9913
Fax Number
412-281-8074
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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