NPI | 1972571438 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE T LAWALL President 215-338-6611 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE 2003106529) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2023-06-15 |