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DOLLIVER TREE INC. NPI 1467889121


NPI Information

NPI: 1467889121
Provider Name: DOLLIVER TREE, INC.

Doing Business As: THE SHOE TREE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
801 DOLLIVER ST
PISMO BEACH, CA
ZIP 93449
Phone: (805) 773-5571
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DOLLIVER TREE, INC. is a prosthetic orthotic supplier in Pismo Beach, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. DOLLIVER TREE, INC. NPI is 1467889121. The provider is registered as an organization entity type.
The provider Is Doing Business As The Shoe Tree.

The provider's business location address is:

801 DOLLIVER ST
PISMO BEACH, CA
ZIP 93449-503
Phone: (805) 773-5571
Fax: (805) 773-1270

The provider's authorized official is Rodney Lewis Morabito .
The authorized official title is Vice President and has the following contact phone number (805) 235-1752.

The enumeration date for this NPI number is 9/26/2013 and was last updated on 9/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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