NPI | 1700399490 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA MARIE PINO Business Office Manager 267-339-3500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |