| NPI | 1366034647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE NEWMAN Owner 505-437-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| 224P00000X Prosthetist | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-04-24 |