| NPI | 1447310099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN MULVIHILL President 703-622-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 02171211) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT-001446-A) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 02171211) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-02-11 |