| NPI | 1154306322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANT E. SNELL COO 501-664-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR 04734178001) |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2024-01-04 |