An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pedorthist |
224L00000X |
| NPI # | 1356965404 |
| LBN Legal business name | SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC |
| Authorized official | SANJUANA CABALLERO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/04/2020 |
| Last updated | 06/04/2020 - About 6 years ago |
| Identifiers | n/a |
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