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Peterson Shoe Inc
Prosthetic/Orthotic Supplier in Anoka, Minnesota
NPI 1639235088

Peterson Shoe Inc is a Prosthetic/Orthotic Supplier based in Anoka, MN. Peterson Shoe Inc practices in Anoka, MN. The NPI Number for Peterson Shoe Inc is 1639235088 and holds a License No. NA (Minnesota).

The current practice location address for Peterson Shoe Inc is 209 E Main St, Anoka, MN and can be reached out via phone at 763-421-3433 and via fax at 763-421-0054.

Location: 209 E Main St, Anoka, MN, 55303-3144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639235088
Provider Name
Peterson Shoe Inc
Credential
Provider Entity Type
Organization
Address
209 E Main St, Anoka, MN, 55303-3144
Phone Number
763-421-3433
Fax Number
763-421-0054
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
209 E Main St
City
Anoka
State
Minnesota
Zip
55303-3144
Phone Number
763-421-3433
Fax Number
763-421-0054
person
Provider Business Mailing Address Details
Address
209 E Main St
City
Anoka
State
Minnesota
Zip
55303-3144
Phone Number
763-421-3433
Fax Number
763-421-0054
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
NA (Minnesota)
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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