| NPI | 1114948080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI MARIE BENCOMO CEO 559-741-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA BL011033) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-06-16 |