| NPI | 1295293678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETTY TEREBELO Owner 732-994-8019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |