| NPI | 1699553842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONNY ALEJANDRO HUISACAYNA ALVIS Pedorthist 908-884-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |