| NPI | 1619477130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT CLINE Owner / Managing Member 302-364-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |