Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Orthotics/Prosthetics Fitter |
225000000X |
| NPI Number | 1922293000 |
| LBN Legal business name | POMAC |
| Authorized official | JON SHRETER - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/11/2007 |
| Last updated | 02/27/2013 - About 13 years ago |
| Identifiers | n/a |
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