| NPI | 1205229549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD GRABOWSKI CEO 916-456-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 07-319-13) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2018-05-31 |