| NPI | 1093080905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAEGER Certified & Licensed Pedorthist 405-924-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 84) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-04-12 |