| NPI | 1104855881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PAUL WIMBISH Owner/Prosthetist & Orthotist 972-923-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: TX LPO451/CPO1906) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX LPO451/CPO1906) |
| 224P00000X Prosthetist (Licence: TX LPO451/CPO1906) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-10-24 |