| NPI | 1528246568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK N HERRLE Owner O PT Ometrist 203-237-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000573) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |