NPI | 1578763579 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MICHAEL VAN HOOF Owner 203-740-8952 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT CPO 1530) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-27 |