NPI 1053555490

Shoby Shoes LLC.

Organisation Prosthetic/Orthotic Supplier Silver Spring, MD

Practice location

Address: 11514 Goodloe Rd, Silver Spring, MD 20906-4838
Phone: (301) 706-7796
Fax: (301) 942-7288

Authorised official

Name: Ingrid Ventura
Title: Executive Director
Phone: (391) 942-7288

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1053555490
Entity type: Organization
NPI issued: 29 Apr 2009
Record last updated: 29 Apr 2009

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.