institution
Susquehanna Valley Prosthetics & Orthotics Inc
Prosthetic/Orthotic Supplier in Shamokin Dam, Pennsylvania
NPI 1932194271

Susquehanna Valley Prosthetics & Orthotics Inc is a Prosthetic/Orthotic Supplier based in Shamokin Dam, PA. Susquehanna Valley Prosthetics & Orthotics Inc practices in Shamokin Dam, PA. The NPI Number for Susquehanna Valley Prosthetics & Orthotics Inc is 1932194271 and holds a License No. (Pennsylvania).

The current practice location address for Susquehanna Valley Prosthetics & Orthotics Inc is 3120 N Old Trail, Shamokin Dam, PA and can be reached out via phone at 570-743-1414 and via fax at 570-743-5215.

Location: 3120 N Old Trail, Shamokin Dam, PA, 17876
institution
Provider Profile Details
NPI Number
1932194271
Provider Name
Susquehanna Valley Prosthetics & Orthotics Inc
Credential
Provider Entity Type
Organization
Address
3120 N Old Trail, Shamokin Dam, PA, 17876
Phone Number
570-743-1414
Fax Number
570-743-5215
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116173 01 HEALTH AMERICA
SU206824 01 BLUE SHIELD
2477665 01 PA AETNA
340622 01 PA HEALTH AMERICA
39HA76 01 KEYSTONE HEALTH PLAN
SU206824 01 PA HIGHMARK BLUE SHIELD
0018173000003 05 PA
1511123 01 PA GATEWAY
28389 01 PA ABP ADMINISTRATION
39HA76 01 PA CAPITAL BLUE CROSS
57492 01 PA GEISINGER HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
3120 N Old Trail
City
State
Zip
17876
Phone Number
570-743-1414
Fax Number
570-743-5215
person
Provider Business Mailing Address Details
Address
3120 N Old Trail
City
State
Zip
17876
Phone Number
570-743-1414
Fax Number
570-743-5215
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
(Pennsylvania)
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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