| NPI | 1306133186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONED TEREZE MORROW General Manager 800-548-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 00884900) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |