Provider Demographics
NPI:1164026332
Name:KRUPA, JAMES CARL (CERTIFIED ORTHOTIST)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CARL
Last Name:KRUPA
Suffix:
Gender:M
Credentials:CERTIFIED ORTHOTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2758
Mailing Address - Country:US
Mailing Address - Phone:781-820-0401
Mailing Address - Fax:
Practice Address - Street 1:162 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2758
Practice Address - Country:US
Practice Address - Phone:781-820-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist