Provider Demographics
NPI:1821533894
Name:ASPIRE PROSTHETICS AND REHABILITATION ASSOCIATES
Entity Type:Organization
Organization Name:ASPIRE PROSTHETICS AND REHABILITATION ASSOCIATES
Other - Org Name:APARA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PROSTHETICS
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOMBARD
Authorized Official - Suffix:
Authorized Official - Credentials:CP/L
Authorized Official - Phone:276-679-1188
Mailing Address - Street 1:750 PARK AVE NW
Mailing Address - Street 2:PO BOX 375
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-1923
Mailing Address - Country:US
Mailing Address - Phone:276-679-1188
Mailing Address - Fax:276-679-1189
Practice Address - Street 1:750 PARK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1923
Practice Address - Country:US
Practice Address - Phone:276-679-1188
Practice Address - Fax:276-679-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPRO192335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier