| NPI | 1205824521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS PORTER President 562-803-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |