NPI | 1134316912 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY CLEMENT Administration 417-621-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 5) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2025-06-13 |