| NPI | 1194793588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE T LAWALL President 215-338-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 0805563) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-10-25 |