| NPI | 1841479573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC DIEP Director, Reimbursement De PT 877-829-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-09-07 |