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Mr. John Martin Fidler, OWNEROFSHOESTORE
Prosthetic/Orthotic Supplier in Gettysburg, Pennsylvania
NPI 1164542437

John Martin Fidler is a Prosthetic/Orthotic Supplier based in Gettysburg, PA. John Martin Fidler practices in Gettysburg, PA and has the professional credentials of OWNEROFSHOESTORE. The NPI Number for John Martin Fidler is 1164542437 and holds a License No. (Pennsylvania).

The current practice location address for John Martin Fidler is 26 Baltimore St, Gettysburg, PA and can be reached out via phone at 717-334-1810 and via fax at 717-334-1810.

Location: 26 Baltimore St, Gettysburg, PA, 17325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164542437
Provider Name
John Martin Fidler
Credential
OWNEROFSHOESTORE
Provider Entity Type
Individual
Gender
Male
Address
26 Baltimore St, Gettysburg, PA, 17325
Phone Number
717-334-1810
Fax Number
717-334-1810
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26 Baltimore St
City
Gettysburg
State
Pennsylvania
Zip
17325
Phone Number
717-334-1810
Fax Number
717-334-1810
person
Provider Business Mailing Address Details
Address
26 Baltimore St
City
Gettysburg
State
Pennsylvania
Zip
17325
Phone Number
717-334-1810
Fax Number
717-334-1810
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Pennsylvania)
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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