| NPI | 1285020008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND J RESTIVO Owner 251-654-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 335E00000) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |