| NPI | 1265904650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY DOLBERRY Owner 480-364-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2018-12-22 |