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Footsource Md, Llc
Customized Equipment (DME) in Westerville, Ohio
NPI 1386807543

Footsource Md, Llc is a Customized Equipment (DME) based in Westerville, OH and is specialized in Customized Equipment. Footsource Md, Llc practices in Westerville, OH. The NPI Number for Footsource Md, Llc is 1386807543 and holds a License No. 25-901188 (Ohio).

The current practice location address for Footsource Md, Llc is 300 Polaris Pkwy, Westerville, OH and can be reached out via phone at 614-895-8747 and via fax at 614-882-6503.

Location: 300 Polaris Pkwy, Westerville, OH, 43082-7989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386807543
Provider Name
Footsource Md, Llc
Credential
Provider Entity Type
Organization
Address
300 Polaris Pkwy, Westerville, OH, 43082-7989
Phone Number
614-895-8747
Fax Number
614-882-6503
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Polaris Pkwy
City
Westerville
State
Ohio
Zip
43082-7989
Phone Number
614-895-8747
Fax Number
614-882-6503
person
Provider Business Mailing Address Details
Address
300 Polaris Pkwy
City
Westerville
State
Ohio
Zip
43082-7989
Phone Number
614-895-8747
Fax Number
614-882-6503
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
25-901188 (Ohio)
Definition
Definition to come...
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