NPI | 1386929347 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE KANAS Executive Director O&P 813-975-7139 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 4184) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2025-09-25 |