| NPI | 1932299369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAMES DISALVO Pres 585-343-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |