| NPI | 1518137405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J. MULCAHY Certified Pedorthist 908-349-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: MN 964) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN 964) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2009-05-27 |