| NPI | 1023171048 |
|---|---|
| Former Legal Business Name | DAVID SISSON ORTHOTICS & PROSTHETICS INC |
| Former Legal Business Name | SISSON MOBILITY RESTORATION CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | SUMESH SAXENA Owner 219-791-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-10-03 |