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 Orthotist |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |