| NPI | 1285856385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L. ROWE Orthotist 917-902-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-01-24 |