| NPI | 1205078060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PERRETTA Owner 772-871-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO 84) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |