| NPI | 1023092475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE CARL HART Pres Owner 269-983-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |