| NPI | 1962416800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P. SOUTTER President 860-621-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 456560) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 456560) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-06-02 |