Individual provider · Type 1 NPI
John Martin Fidler, OWNER OF SHOE STORE
Prosthetic/Orthotic Supplier · Gettysburg, PA
Practice location
26 Baltimore St
Gettysburg, PA 17325
Fax (717) 334-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
About NPI 1164542437
John Martin Fidler, OWNER OF SHOE STORE's National Provider Identifier is 1164542437, issued on Mar 30, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gettysburg, PA. The record was last updated on Jul 8, 2007.