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The Shoe Smith Llc
Prosthetic/Orthotic Supplier in Willimantic, Connecticut
NPI 1598936536

The Shoe Smith Llc is a Prosthetic/Orthotic Supplier based in Willimantic, CT. The Shoe Smith Llc practices in Willimantic, CT. The NPI Number for The Shoe Smith Llc is 1598936536 and holds a License No. (Connecticut).

The current practice location address for The Shoe Smith Llc is 503 Main St, Willimantic, CT and can be reached out via phone at 860-423-8873 and via fax at 860-456-0373.

Location: 503 Main St, Willimantic, CT, 06226-3143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598936536
Provider Name
The Shoe Smith Llc
Credential
Provider Entity Type
Organization
Address
503 Main St, Willimantic, CT, 06226-3143
Phone Number
860-423-8873
Fax Number
860-456-0373
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004201381 05 CT
institution
Provider Business Practice Location Address Details
Address
503 Main St
City
Willimantic
State
Connecticut
Zip
06226-3143
Phone Number
860-423-8873
Fax Number
860-456-0373
person
Provider Business Mailing Address Details
Address
503 Main St
City
Willimantic
State
Connecticut
Zip
06226-3143
Phone Number
860-423-8873
Fax Number
860-456-0373
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Connecticut)
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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