| NPI | 1437427960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOYA NASTASKIN President 215-760-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PT017122) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA PT017122) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PA PT017122) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |