| NPI | 1104072792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BRYAN TRAUTMAN Owner 410-253-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |