NPI | 1063418671 |
---|---|
Other Name | COLLIN ORTHOPEDIC |
Entity Type | Organization |
Authorized Contact | CHET ALAN COLLINS Co Owner 903-597-6566 |
Organization Subpart ? | No |
Primary Taxonomy | 225000000X Orthotic Fitter (Licence: WA 9676) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
222Z00000X (Licence: WA 335) | |
225000000X Orthotic Fitter (Licence: WA 1130) | |
Enumeration Date | 2005-06-28 |
Last Update Date | 2025-09-11 |