| NPI | 1427220102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VIOLA Office Manager 610-623-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA SC002869L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC002869L) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-06-26 |