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Larry J Assalita
Customized Equipment (DME) in State College, Pennsylvania
NPI 1669656419

Larry J Assalita is a Customized Equipment (DME) based in State College, PA and is specialized in Customized Equipment. Larry J Assalita practices in State College, PA. The NPI Number for Larry J Assalita is 1669656419 and holds a License No. SC002410-L (Pennsylvania).

The current practice location address for Larry J Assalita is 110 Regent Ct, State College, PA and can be reached out via phone at 814-238-0675 and via fax at 814-238-8455.

Location: 110 Regent Ct, State College, PA, 16801-7966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669656419
Provider Name
Larry J Assalita
Credential
Provider Entity Type
Organization
Address
110 Regent Ct, State College, PA, 16801-7966
Phone Number
814-238-0675
Fax Number
814-238-8455
Provider Enumeration Date
12/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0867765 05 PA
862816801 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
110 Regent Ct
City
State College
State
Pennsylvania
Zip
16801-7966
Phone Number
814-238-0675
Fax Number
814-238-8455
person
Provider Business Mailing Address Details
Address
110 Regent Ct
City
State College
State
Pennsylvania
Zip
16801-7966
Phone Number
814-238-0675
Fax Number
814-238-8455
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
SC002410-L (Pennsylvania)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
SC002410-L (Pennsylvania)
Definition
Definition to come...
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