| NPI | 1750565479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD JOSEPH FOWLER Owner/Practitioner 603-228-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-04-20 |