NPI | 1174615314 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID W ROBERTSON President/ Owner 225-767-6264 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 400246) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |