| NPI | 1295854487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE T LAWALL President 800-735-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000007004) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-12-27 |