| NPI | 1457645566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY TONY HAYNES Manager 734-686-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 335E00000X) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |