| NPI | 1801019211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RAYER Co Owner 856-380-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45PR00001300) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |