| NPI | 1063146447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA RYPINSKI Licensed Prosthetist Orthotist 240-441-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 222Z00000X | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |