| NPI | 1073807475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB MC ROBERTS Owner 715-834-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: C-Ped2969) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |