| NPI | 1033206313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CAROL CAMP Owner 662-328-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MS 044211860) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-04-22 |