| NPI | 1104392398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE MCCARTNEY System Executive Hme O&P 651-632-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2025-11-03 |