NPI | 1760785570 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY CAROL HITCHENS O PT Ican 302-322-4658 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: DE 2010604878) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2010-12-16 |