| NPI | 1649863937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIYETTA N LAWSON CEO 484-640-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-06-19 |