| NPI | 1790879443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BODI MIHOV President 609-430-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45PO00010300) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-04-08 |