NPI | 1043291529 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA M HARRIS Owner 260-485-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IN 335e00000x) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2020-08-22 |