| NPI | 1457359408 |
|---|---|
| Doing Business As | EVERGREEN PROSTHETICS AND ORTHOTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN MARTIN CREIGHTON President 765-447-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2025-03-17 |