| NPI | 1295209484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL SMILEY Member 603-854-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-25 |