| NPI | 1962912931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TODD HAMILTON Orthotist/Prosthetist 207-749-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-11-15 |