| NPI | 1265593115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J OSTERMAN Owner 314-968-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213.000099) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211.000024) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-02-16 |