| NPI | 1053473959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHANDONNET Principle Manager 401-383-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-04-20 |