| NPI | 1114095544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JASON BUTLER Director 508-587-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2010-02-17 |