| NPI | 1083049795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE MAYES Owner 609-585-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 32WD00810000) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2014-01-30 |