Provider Demographics
NPI:1780125823
Name:CESTARO, MICHAEL E (CPO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:CESTARO
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W CORK ST UNIT 30
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3816
Mailing Address - Country:US
Mailing Address - Phone:540-722-9025
Mailing Address - Fax:540-667-9915
Practice Address - Street 1:333 W CORK ST UNIT 30
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3816
Practice Address - Country:US
Practice Address - Phone:540-722-9025
Practice Address - Fax:540-667-9915
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist