| NPI | 1043981202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICOLE EASTERLING Owner 301-514-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |