| NPI | 1235375817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA K. DILIBERTO Office Manager 856-627-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 25MD00091300) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |