| NPI | 1881109155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN STRUM O PT Ician/Manager 754-400-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OE2405) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |