| NPI | 1023823812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SCOTT HINSHON Owner, Practitioner 612-871-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |