| NPI | 1275719551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE WAYNE BIAS Orthotist/Prosthetist 337-474-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 07-00010164) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2023-09-06 |