| NPI | 1528393261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WEINER Owner 215-735-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000007529) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2010-09-20 |