| NPI | 1174780886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E FAUST Director 410-268-8862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD A2505) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD A2505) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-06-03 |