| NPI | 1104010172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN B MCNAB Certified Orthotist Prosthotist Pre 815-932-8564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-04-20 |