| NPI | 1760669725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HENRY Podiatrist; Audiologist 215-953-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC003337L) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA SC003337L) |
| 332S00000X Hearing Aid Equipment (Licence: PA AT000591L) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2012-03-21 |