| NPI | 1235277336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBOLAHAN L SASONA President 201-222-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: NJ 45PO00000400) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-10-03 |