| NPI | 1093717365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BOUTIN President 602-263-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AZ 07619391X) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-08-30 |