| NPI | 1306290002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHARLES L BEHRENDT Owner 203-689-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |