| NPI | 1275536153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PIGGOTT Business Manager 248-588-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-04-02 |