| NPI | 1134302912 |
|---|---|
| Doing Business As | PROACTIVE FOOTWEAR |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CHRISTOPHER GAUS President 972-837-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2009-12-18 |