| NPI | 1669539615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE LAMAY Podiatrist Partner 860-388-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-04-02 |