Healthcare Provider Details

I. General information

NPI: 1356574230
Provider Name (Legal Business Name): A PERFECT FIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 N EAST ST STUDIO 1
FREDERICK MD
21701-5601
US

IV. Provider business mailing address

5 W 12TH ST
FREDERICK MD
21701-4528
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-1233
  • Fax:
Mailing address:
  • Phone: 301-663-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. PEGGIANNE JOY
Title or Position: OWNER
Credential:
Phone: 301-663-1233