| NPI | 1669472692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE LAWALL President 215-338-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE 2003107597) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-06-15 |