| NPI | 1336327717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETT WENTWORTH Certified Fitter 719-351-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |