| NPI | 1831403104 |
|---|---|
| Doing Business As | THE SHOE CENTER- HEALTHY FOOTWEAR |
| Entity Type | Organization |
| Authorized Contact | DANA CONRAD KOWASIC President 540-347-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2022-07-21 |