| NPI | 1558459834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MARIE SOUTHWORTH Owner/Fitter 315-634-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-11-04 |