| NPI | 1063881530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAMS Orthotic Prosthetic Practitioner 313-424-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |