| NPI | 1053355446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA KATARYNA HELMINSKI Manager 860-887-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD C10664) |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224L00000X | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-10-23 |