| NPI | 1982916128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J ROBERTS Owner 609-581-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL CPed3173) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2010-10-12 |