| NPI | 1770096471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE PINO Business Office Location 267-339-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |