| NPI | 1942534128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY TSANG Owner 228-273-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-11-19 |