NPI | 1437316684 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI JEAN JOHNSTON President 815-639-9251 |
Organization Subpart ? | No |
Primary Taxonomy | 225000000X Orthotic Fitter (Licence: IL 011.167276) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2008-08-25 |