Individual provider · Type 1 NPI
Thomas Pacak, CPO
Prosthetic/Orthotic Supplier · Morgantown, WV
Practice location
1137 Van Voorhis Rd, Suite 15
Morgantown, WV 26505-3453
Fax (304) 381-2041
Mailing address
PO Box 4112
Morgantown, WV 26504-4112
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.
2 other providers at this address
About NPI 1841684271
Thomas Pacak, CPO's National Provider Identifier is 1841684271, issued on Mar 24, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Morgantown, WV. The record was last updated on Oct 28, 2015.