| NPI | 1215268248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BERARDELLI Owner 210-485-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 209-10982) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |