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Janessa Capozzolo, CFO
Orthotic Fitter in Bangor, Pennsylvania
NPI 1447834692

Janessa Capozzolo is a Orthotic Fitter based in Bangor, PA. Janessa Capozzolo practices in Bangor, PA and has the professional credentials of CFO. The NPI Number for Janessa Capozzolo is 1447834692 and holds a License No. CFO04693 (Pennsylvania).

The current practice location address for Janessa Capozzolo is 115 Rutt Rd, Bangor, PA and can be reached out via phone at 610-216-3916.

Location: 115 Rutt Rd, Bangor, PA, 18013-9603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447834692
Provider Name
Janessa Capozzolo
Credential
CFO
Provider Entity Type
Individual
Gender
Female
Address
115 Rutt Rd, Bangor, PA, 18013-9603
Phone Number
610-216-3916
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0008381761 01 PA ORTHOTIC FITTER
institution
Provider Business Practice Location Address Details
Address
115 Rutt Rd
City
Bangor
State
Pennsylvania
Zip
18013-9603
Phone Number
610-216-3916
Fax Number
person
Provider Business Mailing Address Details
Address
115 Rutt Rd
City
Bangor
State
Pennsylvania
Zip
18013-9603
Phone Number
610-216-3916
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CFO04693 (Pennsylvania)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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