Organization · Type 2 NPI
Countryside Pedorthics & Cobbler Shop
Durable Medical Equipment & Medical Supplies · Canterbury, CT
Practice location
95 Bingham Rd
Canterbury, CT 06331-1302
Fax (860) 546-1095
Mailing address
95 Bingham Road
Canterbury, CT 06331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 1510 (CT) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1265611891
Countryside Pedorthics & Cobbler Shop's National Provider Identifier is 1265611891, issued on Oct 31, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Canterbury, CT. The record was last updated on Apr 22, 2021.