| NPI | 1811950207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L DIAMOND Owner 410-363-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD A1397) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD A1397) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2020-08-22 |