| NPI | 1265691877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA MARIE HOELSCHER Co Owner Vice President 208-345-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2010-06-01 |