| NPI | 1336136902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FRANCES NUERAKIS Board Certified Pedorthist 203-753-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 9948) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: 9948) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-12-17 |