| NPI | 1205945847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN GILBERT Owner 260-432-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IN 6204260001) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-05-21 |