NPI | 1528532892 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL COONS President 508-966-3290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 222Z00000X Orthotist |
Additional Taxonomies | 224900000X Mastectomy Fitter |
225000000X Orthotic Fitter | |
Enumeration Date | 2019-01-19 |
Last Update Date | 2019-01-19 |