NPI 1477077113

Prostride Orthotics LLC

Organisation Pedorthist Henrico, VA

Practice location

Address: 2610 Gaskins Rd STE a, Henrico, VA 23238-1403
Phone: (804) 310-3894
Mailing address: PO Box 5382, Glen Allen, VA 23058-5382

Authorised official

Name: Bharti Mehta
Title: Pedorthist
Phone: (804) 310-3894

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 4134 (VA)

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Registry record

NPI: 1477077113
Entity type: Organization
NPI issued: 2 Aug 2017
Record last updated: 13 Oct 2024

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.