| NPI | 1063599728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE MARIE STONE Owner 573-651-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO 335E00000X) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-09-12 |