| NPI | 1255571436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON L SHRETER Exec. Director 856-273-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2013-12-09 |