| NPI | 1962683144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FAIRCHILD Certified Orthotist 607-348-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY C0003702) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |