| NPI | 1134368566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROSS MILLER Director Of Accounting And Finance 800-672-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0900X Clinic/Center, Amputee |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2010-09-24 |