| NPI | 1063607752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R. KELLEHER Office Mgr. 508-583-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: RI 335E00000X) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-08-06 |