| NPI | 1194132795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E JOHNSON Business Development 619-990-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA FH102371320) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |