| NPI | 1245779180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH KEENE Consultant 610-724-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA oh000301) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |