| NPI | 1013420363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN MOLSBERRY National Billing Administrator 480-403-6374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-08-24 |