| NPI | 1730052119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNESHA WILSON-MCDANIELS Owner 716-703-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |