| NPI | 1275514440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T DAMICO President/Certified Prosthetist 317-598-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-04-20 |