| NPI | 1518936848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L DIAMOND Owner President 410-363-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 00898) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-01-11 |