| NPI | 1265681472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WHALEN Director Of Operations 248-650-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2015-05-08 |