| NPI | 1174776744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HENSON PT 724-483-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-02-07 |