| NPI | 1093934648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANNETTE SHORES-DEAL Operations Manager 317-347-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-05-27 |