NPI | 1922509603 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DANNELLY LOGUE Owner 443-487-4394 |
Organization Subpart ? | No |
Primary Taxonomy | 222Z00000X Orthotist |
Additional Taxonomies | 224P00000X Prosthetist |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |