| NPI | 1134326440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONIS CHATZIGIANNIDIS Owner 918-747-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 26) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 26) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2018-01-12 |