| NPI | 1801950001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L DESARRO Administrative Director 814-452-4632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000006121) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000006121) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-09-24 |