| NPI | 1225200629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABE M GALSTER Owner 870-536-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CP003154) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2023-10-02 |