| NPI | 1811013014 |
|---|---|
| Former Name | THE MOBILITY STORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0086788) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 0086788) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-04-10 |