| NPI | 1699441857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARTON MAHLER Owner 860-833-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-06-21 |