| NPI | 1295053668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ARCIVOLO Owner 800-318-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 2391) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |