| NPI | 1003139866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELYN SPHAR Biller 530-224-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 1126) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |