| NPI | 1255500773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFYA TAMARKIN Manager Pedorthist 215-676-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2015-04-29 |