| NPI | 1063699064 |
|---|---|
| Other Name | THE SECRET BENEATH |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA R BYAM Owner 207-364-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-07-16 |