| NPI | 1265895452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEHARDE President 610-906-1410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000004052) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |