| NPI | 1093870743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PALMER Owner President 401-780-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2021-11-12 |