| NPI | 1134684954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE DENISE WASHINGTON Managing Member 800-625-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |