| NPI | 1194822544 |
|---|---|
| Other Name | DAVID R WYATT |
| Entity Type | Organization |
| Authorized Contact | DAVID RAYMOND WYATT President 504-522-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-24 |