| NPI | 1235590423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANNUNZIATO VALENTINE Owner 818-389-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA D7692) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |