| NPI | 1417601915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA MICHELLE LETMAN Owner/Operator 682-459-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |