| NPI | 1336172196 |
|---|---|
| Former Legal Business Name | SOUTH SHORE ORTHOPEDIC LABS INC |
| Entity Type | Organization |
| Authorized Contact | MIKE CORCORAN CEO 301-585-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-09-11 |