| NPI | 1508626177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEM J ATIYA Owner 833-340-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-04-23 |