| NPI | 1699869768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE T LAWALL President 215-338-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ C0000151495) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-12-27 |