Healthcare Provider Details

I. General information

NPI: 1699202853
Provider Name (Legal Business Name): UNION ORTHOTICS & PROSTHETICS CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 ALLEGHENY BLVD STE 1E
FRANKLIN PA
16323-6259
US

IV. Provider business mailing address

3424 LIBERTY AVE
PITTSBURGH PA
15201-1323
US

V. Phone/Fax

Practice location:
  • Phone: 814-827-9691
  • Fax:
Mailing address:
  • Phone: 412-622-2020
  • 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: ANN MOSS
Title or Position: PRESIDENT
Credential:
Phone: 412-325-2650