| NPI | 1386174142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE DALY Co Owner 203-507-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |