| NPI | 1043751837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEONARD BUSUTTIL Certified Orthotist/Prosthetist 909-392-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |