| NPI | 1295963676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILA M DONLEY Owner 763-544-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN 335E00000X) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |