| NPI | 1750704870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L DESARRO Administrative D Irector 814-452-4632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |