| NPI | 1316195795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RALPH RIFFLE President 318-841-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 30) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 318) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2009-05-08 |