| NPI | 1790187110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GOLDMAN Owner 443-844-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 03836323) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-09-02 |