| NPI | 1578702833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE KELLEY Owner 207-846-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: ME co13731) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |