| NPI | 1558398750 |
|---|---|
| Former Legal Business Name | ADVANCE ORTHOTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID A JOHNSON Owner 207-786-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-09-21 |