| NPI | 1609389725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA CHETT KATRENIA LANDRUM Executive Director 202-321-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 219400) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |