| NPI | 1699448266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE CORCORAN CEO 301-585-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2024-03-12 |