| NPI | 1962413765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN (JAY) R KURELICH President 703-281-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 1114) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-05-20 |