| NPI | 1255792180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK J LINDHOLM President 661-422-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211000293) |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2016-03-20 |