| NPI | 1134911993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DENISE CATON Practice Administrator 301-990-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |