| NPI | 1235571811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY JOSEPH BRADSHAW Partner/Owner 308-635-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NE 10561404) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |