| NPI | 1780633016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS HENRY BOUSCHE Certified Orthotist 914-664-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-03-20 |