| NPI | 1245469824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE EDWARD CROWE CPO Lp 863-581-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO60) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2011-05-02 |