| NPI | 1619969037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A ROGERSON Corporate Officer / Practice Manage 617-268-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-03-26 |