NPI 1164892139

Crossroads Orthotics and Prosthetics LLC

Organisation Prosthetic/Orthotic Supplier Morgantown, WV

Practice location

Address: 1137 van Voorhis Rd Suite 15, Morgantown, WV 26505-3453
Phone: (304) 241-4094
Mailing address: PO Box 4112, Morgantown, WV 26504-4112

Authorised official

Name: Thomas Pacak
Title: Owner/Clinical Director
Phone: (304) 241-4094

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1164892139
Entity type: Organization
NPI issued: 2 Oct 2015
Record last updated: 2 Oct 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.