| NPI | 1528688199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LOCKLEAR Atp/Owner 410-603-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |