Healthcare Provider Details
I. General information
NPI: 1467593632
Provider Name (Legal Business Name): UNION ORTHOTICS & PROSTHETICS CO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2007
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
832 OHIO RIVER BLVD
ROCHESTER PA
15074-1414
US
IV. Provider business mailing address
3424 LIBERTY AVE
PITTSBURGH PA
15201-1323
US
V. Phone/Fax
- Phone: 724-728-0881
- Fax: 724-728-0902
- Phone: 412-622-2020
- Fax: 412-621-6315
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ANN
MOSS
Title or Position: PRESIDENT
Credential:
Phone: 412-325-2650