NPI | 1962627117 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PAUL KENNEDY Owner 508-764-8877 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-14 |
Last Update Date | 2025-09-11 |