| NPI | 1033102330 |
|---|---|
| Former Legal Business Name | SMART FOAM CORSET SHOP |
| Entity Type | Organization |
| Authorized Contact | LAURIE J CHURMA General Manager 412-281-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |