| NPI | 1922293000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON L SHRETER Executive Director 856-273-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2013-02-27 |