| NPI | 1407025224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY STAUB VP A/Income Manager 315-786-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| 222Z00000X Orthotist | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2019-08-22 |