| NPI | 1194972869 |
|---|---|
| Doing Business As | PINK DOOR BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CHRIS WALKER Dir Of Durable Medical Services 417-347-7417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2021-11-18 |