Provider Demographics
NPI:1265715593
Name:SCIORTINO, JAY C (CPO)
Entity type:Individual
Prefix:MR
First Name:JAY
Middle Name:C
Last Name:SCIORTINO
Suffix:
Gender:M
Credentials:CPO
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Mailing Address - Street 1:AUDUBON ORTHOTICS & PROSTHETICS
Mailing Address - Street 2:4110 BRIARGATE PKWY SUITE 300
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920
Mailing Address - Country:US
Mailing Address - Phone:719-632-7669
Mailing Address - Fax:719-632-0088
Practice Address - Street 1:AUDUBON ORTHOTICS & PROSTHETICS
Practice Address - Street 2:4110 BRIARGATE PKWY SUITE 300
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-632-7669
Practice Address - Fax:719-632-0088
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2023-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOI6027313222Z00000X
WAPS60197750224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist