| NPI | 1255769766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABE M GALSTER CEO 870-536-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MS In Progress) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2018-06-26 |