| NPI | 1982671640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RANDY HARRIS Owner 301-776-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD CO001692) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-10-25 |