Organization Name: | VSAS ORTHOPAEDICS PC |
NPI Number: | 1003130428 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW T PROKURAT (CHIEF OPERATING OFFICER) |
Mailing Address: | 1250 S Cedar Crest Blvd Suite 110 Allentown |
State: | PA US |
Postal Code: | 181036224 |
Phone Number: | 6104351003 |
Fax Number: | 6104353184 |
NPI Enumeration Date: | 03/15/2010 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |