NPI: 1164892139 · MORGANTOWN, WV 26505 · Prosthetic/Orthotic Supplier · NPI assigned 10/02/2015
| Authorized Official | PACAK, THOMAS (OWNER/CLINICAL DIRECTOR) |
| NPI Enumeration Date | 10/02/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 38 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2280 | Addition to lower extremity, molded inner boot | 38 | 17 | $8K |