| NPI | 1366034647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE NEWMAN Owner 505-437-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-04-14 |