| NPI | 1265445464 |
|---|---|
| Other Name | PENOBSCOT ORTHOTICS & PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | DUANE L ELLIS President/Orthotist 207-873-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-07-09 |