| NPI | 1134222474 |
|---|---|
| Doing Business As | PHILADELPHIA DIABETIC SHOES |
| Entity Type | Organization |
| Authorized Contact | AKSANA A PERAKROSTAVA Owner 215-677-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-09-29 |