| NPI | 1083766331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW ARNOLD HITTENBERGER Owner 707-765-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: CA 680225197) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-04-09 |