NPI | 1134393457 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY A MUCK Owner 605-645-0071 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SD CS-03854-2008) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-06-23 |