Provider Demographics
NPI:1659698066
Name:ASSISTIVE TECHNOLOGY DESIGNS, INC
Entity Type:Organization
Organization Name:ASSISTIVE TECHNOLOGY DESIGNS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTIVE TECHNOLOGY PROFESSIONIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:408-309-1717
Mailing Address - Street 1:25161 JORGENSEN RD
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-9728
Mailing Address - Country:US
Mailing Address - Phone:408-309-1717
Mailing Address - Fax:
Practice Address - Street 1:25161 JORGENSEN RD
Practice Address - Street 2:
Practice Address - City:NEWMAN
Practice Address - State:CA
Practice Address - Zip Code:95360-9728
Practice Address - Country:US
Practice Address - Phone:408-309-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-24
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment