| NPI | 1114507290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY EDITH MOORE Owner 413-923-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-01-25 |