| NPI | 1710166863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY SKORSKI Owner 860-670-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 444102) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2014-01-17 |