NPI | 1073781886 |
---|---|
Other Name | VITO'S PEDORTHIC CENTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0306) |
Additional Taxonomies | 224L00000X |
225000000X Orthotic Fitter | |
224P00000X Prosthetist | |
Enumeration Date | 2008-02-14 |
Last Update Date | 2017-04-03 |