| NPI | 1124075833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN LEWIS EVP Of Licensure & Accreditation 512-806-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK CP2626) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-10-27 |