| NPI | 1245004795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI HUDSON Business Manager 260-459-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2024-01-15 |