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Second Sole Shoe Repair
Prosthetic/Orthotic Supplier in Bala Cynwyd, Pennsylvania
NPI 1306912787

Second Sole Shoe Repair is a Prosthetic/Orthotic Supplier based in Bala Cynwyd, PA. Second Sole Shoe Repair practices in Bala Cynwyd, PA. The NPI Number for Second Sole Shoe Repair is 1306912787 and holds a License No. (Pennsylvania).

The current practice location address for Second Sole Shoe Repair is 99 E City Line Ave, Bala Cynwyd, PA and can be reached out via phone at 610-664-0770.

Location: 99 E City Line Ave, Bala Cynwyd, PA, 19004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306912787
Provider Name
Second Sole Shoe Repair
Credential
Provider Entity Type
Organization
Address
99 E City Line Ave, Bala Cynwyd, PA, 19004
Phone Number
610-664-0770
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
99 E City Line Ave
City
Bala Cynwyd
State
Pennsylvania
Zip
19004
Phone Number
610-664-0770
Fax Number
person
Provider Business Mailing Address Details
Address
99 E City Line Ave
City
Bala Cynwyd
State
Pennsylvania
Zip
19004
Phone Number
610-664-0770
Fax Number
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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