| NPI | 1295780856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KAY BUBENHOFER Owner 734-971-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-08-30 |