| NPI | 1124409156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T ROGERS Owner/Single Managing Member, LLC 603-226-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2016-04-11 |