| NPI | 1831314822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON R RODRIGUEZ Owner 215-925-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000006303) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-04-21 |