Provider Demographics
NPI:1275867129
Name:ASSISTIVE TECH PRODUCTS
Entity Type:Organization
Organization Name:ASSISTIVE TECH PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:REXFORD
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, RET
Authorized Official - Phone:570-814-1148
Mailing Address - Street 1:315 HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-9642
Mailing Address - Country:US
Mailing Address - Phone:570-814-1148
Mailing Address - Fax:570-300-1808
Practice Address - Street 1:315 HOWELL RD
Practice Address - Street 2:
Practice Address - City:SHAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18708-9642
Practice Address - Country:US
Practice Address - Phone:570-814-1148
Practice Address - Fax:570-300-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty
No246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical EngineeringGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies