NPI | 1932164464 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYL JAMES REUTER President 508-222-1972 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-04-18 |
Last Update Date | 2011-10-11 |