| NPI | 1073939526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID STRICKER President 618-771-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2018-07-13 |