| NPI | 1003130964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN BEESON President 952-435-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN CFM02120) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |