THOMAS PACAK CPO NPI 1841684271

NPI Information

Thomas Pacak, CPO is a prosthetic orthotic supplier in Morgantown, WV. 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. Thomas Pacak, CPO NPI is 1841684271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1137 VAN VOORHIS RD
SUITE 15
MORGANTOWN, WV
ZIP 26505-453
Phone: (304) 241-4094
Fax: (304) 381-2041

The enumeration date for this NPI number is 3/24/2015 and was last updated on 10/28/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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