| NPI | 1023857505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE INMAN Practice Manager 602-222-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-09-24 |