NPI 1033102330

Smart Form INC

Organisation Prosthetic/Orthotic Supplier Pittsburgh, PA

Practice location

Address: 100 5th Ave Suite 804, Pittsburgh, PA 15222-1821
Phone: (412) 281-9913
Fax: (412) 281-8074

Authorised official

Name: Laurie J Churma
Title: General Manager
Phone: (412) 281-9913

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1033102330
Entity type: Organization
NPI issued: 23 Aug 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.