| NPI | 1033462171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE SOKOL Owner 801-891-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 000000000) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-03-28 |