| NPI | 1396231189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY EDITH MOORE Office Manager 413-785-4047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |