| NPI | 1194805994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH H NOLL President 410-877-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 12203879) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 12203879) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-08-05 |