| NPI | 1992143614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PERRETTA Owner 772-871-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO84) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |