NPI 1447834692

Janessa Capozzolo, CFO

Practitioner Orthotic Fitter Bangor, PA

Practice location

Address: 115 Rutt Rd, Bangor, PA 18013-9603
Phone: (610) 216-3916

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CFO04693 (PA)

Other Orthotic Fitter providers in Pennsylvania →

Registry record

NPI: 1447834692
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2021
Record last updated: 12 May 2021

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.