| NPI | 1154724094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJUAN BURNS Owner 202-802-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 425560) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |