| NPI | 1285826222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER WHALEN Prosthetist 215-364-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: PA CP2557) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-03-19 |