NPI | 1154894046 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN PAUL TAYLOR Owner 616-490-8564 |
Organization Subpart ? | No |
Primary Taxonomy | 224P00000X Prosthetist |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-07-15 |