NPI 1073904603

Active Orthotics & Prosthetics, LLC

Organisation Pedorthist State College, PA

Practice location

Address: 1333 S Allen St, State College, PA 16801-5944
Phone: (814) 231-0451
Fax: (814) 231-1817

Authorised official

Name: Christine Elizabeth Weikert
Title: Owner
Phone: (814) 231-0451

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1073904603
Entity type: Organization
NPI issued: 18 Feb 2015
Record last updated: 18 Feb 2015

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.