NPI | 1114189669 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE E PETERSEN Pres/Owner 850-526-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL Pro 66) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2008-09-18 |