| NPI | 1346555083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANN BERNACKY Owner 512-458-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 729541) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |