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Active Orthotics & Prosthetics, Llc
Pedorthist in State College, Pennsylvania
NPI 1073904603

Active Orthotics & Prosthetics, Llc is a Pedorthist based in State College, PA. Active Orthotics & Prosthetics, Llc practices in State College, PA. The NPI Number for Active Orthotics & Prosthetics, Llc is 1073904603 and holds a License No. (Pennsylvania).

The current practice location address for Active Orthotics & Prosthetics, Llc is 1333 S Allen St, State College, PA and can be reached out via phone at 814-231-0451 and via fax at 814-231-1817.

Location: 1333 S Allen St, State College, PA, 16801-5944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073904603
Provider Name
Active Orthotics & Prosthetics, Llc
Credential
Provider Entity Type
Organization
Address
1333 S Allen St, State College, PA, 16801-5944
Phone Number
814-231-0451
Fax Number
814-231-1817
Provider Enumeration Date
02/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1333 S Allen St
City
State College
State
Pennsylvania
Zip
16801-5944
Phone Number
814-231-0451
Fax Number
814-231-1817
person
Provider Business Mailing Address Details
Address
1333 S Allen St
City
State College
State
Pennsylvania
Zip
16801-5944
Phone Number
814-231-0451
Fax Number
814-231-1817
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
(Pennsylvania)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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