| NPI | 1285709675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY J HANCOCK Manager 318-878-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 6818306001) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-06-22 |