| 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 |