| NPI | 1275868440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATELA ABRAMOV Certified Therapeutic Shoe Fitter 347-962-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2010-07-14 |