| NPI | 1063553287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN PARRELL Owner Certified Orthotist 605-341-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: SD 53-001-E-ST) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-07-21 |