| NPI | 1023445905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALISA RAFFERTY Owner 617-901-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |