| NPI | 1487621298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L GALLANT Owner 207-762-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: ME 1049058) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |