| NPI | 1528381258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP E. MUCCIO President 800-552-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO76) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI CPO1050) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2013-02-06 |