| NPI | 1225217029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY M LOTRIDGE Manager 989-799-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 0026685) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-04-16 |