Healthcare Provider Details

I. General information

NPI: 1932287059
Provider Name (Legal Business Name): WALK RITE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2127 WEST 8TH ST
ERIE PA
16505
US

IV. Provider business mailing address

2127 W 8TH ST
ERIE PA
16505-4743
US

V. Phone/Fax

Practice location:
  • Phone: 814-218-7792
  • Fax: 888-238-2056
Mailing address:
  • Phone: 814-218-7792
  • Fax: 888-238-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000007141
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberABC C-PED1277
License Number StatePA

VIII. Authorized Official

Name: MR. NATHANIEL C ZIMMERMAN
Title or Position: PRESIDENT
Credential:
Phone: 814-464-2992