NPI | 1407504137 |
---|---|
Other Name | OPTIMAL FEET, LLC |
Entity Type | Organization |
Authorized Contact | EDWARD H DERENDORF Owner 210-369-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2022-03-11 |
Last Update Date | 2022-03-28 |