| NPI | 1356421705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M GOUTERMAN Owner/President 301-984-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 15216137) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-12-27 |