| NPI | 1316637853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL RIVAS President 201-697-5979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-03-04 |