| NPI | 1396234589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BEARD Credentialing Coordinator 405-900-4935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-08-22 |