| NPI | 1417108630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KAY VEALEY Certified Fitter Of Mastectomy 734-925-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |