| NPI | 1265562565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BURKE Office Manager 314-895-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-09-11 |