| NPI | 1285330696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKINLEY SPENCER BURRELL Prosthetist 512-922-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-12-21 |