| NPI | 1326277666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILKINS-JARVIS Owner/Manager 702-457-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-07-21 |