NPI | 1407156847 |
---|---|
Entity Type | Organization |
Authorized Contact | M DWAYNE YEAGER O PT Ometrist 318-325-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 1020-199T) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-12-09 |