| NPI | 1205680238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T GEORGE Certified Orthotist 260-450-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-01-22 |