| NPI | 1932868791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD DOUGLAS CHAVIS Orthotic Fitter 646-628-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |