| NPI | 1235311697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD FAULKNER Owner/Lpo 580-332-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 25) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-29 |