| NPI | 1508821117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIAN F MONTAGNA President 757-490-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA 1181) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |